# PRIMEAXIS MEDICAL GROUP PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417801887
- **Authorized official:** HENRY ODAZIE (MANAGING DIRECTOR)
- **Authorized official phone:** (954) 669-0401

## Contact information

- **Practice address:** 11901 SHADOW CREEK PKWY STE 111, PEARLAND, TX 77584-7346
- **Practice address phone:** (954) 669-0401
- **Mailing address:** 11901 SHADOW CREEK PKWY STE 111, PEARLAND, TX 77584-7346

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | — | NULL | — |
| 207P00000X | Emergency Medicine Physician | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/23/2026
- **Last updated:** 09/20/2026
