Provider Demographics
NPI:1932303518
Name:OGAWA-REEL, YOSHIKO NONESUPPLIED (MD)
Entity Type:Individual
Prefix:DR
First Name:YOSHIKO
Middle Name:NONESUPPLIED
Last Name:OGAWA-REEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12727 KIMBERLEY LN
Mailing Address - Street 2:SUITE 210
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-4047
Mailing Address - Country:US
Mailing Address - Phone:832-900-1191
Mailing Address - Fax:855-848-8745
Practice Address - Street 1:12727 KIMBERLEY LN
Practice Address - Street 2:SUITE 210
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-4047
Practice Address - Country:US
Practice Address - Phone:832-900-1191
Practice Address - Fax:855-848-8745
Is Sole Proprietor?:No
Enumeration Date:2007-06-14
Last Update Date:2013-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM8223207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
2794065706OtherMYUTMB 2794065706-COMMERCIAL NUMBER
TX189478401Medicaid
TX8K1629Medicare PIN
TX8K0872Medicare PIN