Individual
VICTOR OSAGIE AGHATISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
17567 IMPERIAL VALLEY DR, HOUSTON, TX 77060-6102
(281) 877-0187
(281) 877-0189
Mailing address
17567 IMPERIAL VALLEY DR, HOUSTON, TX 77060-6102
(281) 877-0187
(281) 877-0189
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA06283
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/25/2009
Last updated
11/14/2014
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