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Organization
PROCENTURE LLC
Active
Organization
PROCENTURE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IKE C ILOCHONWU MD (PRESIDENT)
(713) 459-2566
Entity
Organization
Contact information
Practice address
2311 CANAL ST STE 214, HOUSTON, TX 77003-1566
(713) 459-2566
Mailing address
5925 ALMEDA RD UNIT 11701, HOUSTON, TX 77004-7677
(713) 459-2566
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
10/17/2017
Last updated
10/17/2017
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