# LA PROVIDENCE MEDICAL CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1700279742
- **Authorized official:** DR. IFEYINWA ONWUDIWE (DIRECTOR)
- **Authorized official phone:** (832) 206-0766

## Contact information

- **Practice address:** 8511 N HOUSTON ROSSLYN RD STE 220, HOUSTON, TX 77088-6433
- **Practice address phone:** (713) 981-6002
- **Mailing address:** 8511 N HOUSTON ROSSLYN RD STE 220, HOUSTON, TX 77088-6433
- **Mailing address phone:** (713) 981-6002

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/16/2015
- **Last updated:** 12/24/2020