Individual
JACK AMAYO OGINDO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14950 HEATHROW FOREST PARKWAY, HOUSTON, TX 77032
(281) 921-2301
(281) 921-2305
Mailing address
8403 BRIGHTON LAKE LN, HOUSTON, TX 77095-4761
(281) 871-1940
(713) 583-5660
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
229119
TX
Other
Enumeration date
07/23/2018
Last updated
07/23/2018
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