Individual
MAIA OGEMBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5788 ECKHERT RD, SAN ANTONIO, TX 78240-3900
(210) 567-1601
(210) 567-3483
Mailing address
5788 ECKHERT RD, SAN ANTONIO, TX 78240-3900
(210) 567-1601
(210) 567-3483
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
87723-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/15/2024
Last updated
06/29/2026
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