Organization
LA PROVIDENCE MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IFEYINWA ONWUDIWE M.D. (OWNER/MD)
(713) 909-3139
Entity
Organization
Contact information
Practice address
9644 COURT GLEN DR, HOUSTON, TX 77099-2541
(713) 909-3139
(713) 909-6002
Mailing address
9644 COURT GLEN DR, HOUSTON, TX 77099-2541
(713) 909-3139
(713) 909-6002
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
201564
LA
Other
Enumeration date
05/28/2014
Last updated
07/25/2014
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