Provider Demographics
NPI:1851340764
Name:OGUEJIOFOR, ALBERT (MD)
Entity Type:Individual
Prefix:
First Name:ALBERT
Middle Name:
Last Name:OGUEJIOFOR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Mailing Address - Street 1:1711 VILLA DEL LAGO DR
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-4582
Mailing Address - Country:US
Mailing Address - Phone:281-835-4676
Mailing Address - Fax:
Practice Address - Street 1:7737 BEECHNUT ST
Practice Address - Street 2:STE 200
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-3101
Practice Address - Country:US
Practice Address - Phone:713-777-6606
Practice Address - Fax:713-777-6686
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-08
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK8396207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXK8396OtherTEXAS MEDICAL LICENSE
TX127477104Medicaid
B04998374OtherDEA NUMBER
TXK8396OtherTEXAS MEDICAL LICENSE
H02299Medicare UPIN