Organization
AZOG PROFESSIONAL ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELECHI AZUOGU MD (PHYSICIAN)
(832) 443-2909
Entity
Organization
Contact information
Practice address
2525 NORTH LOOP W STE 408, HOUSTON, TX 77008-1027
(832) 645-2467
Mailing address
6930 SABLE RIVER DR, MISSOURI CITY, TX 77459-5055
(832) 443-2909
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
Q9574
TX
Other
Enumeration date
08/25/2017
Last updated
06/24/2020
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