Individual
KALU UGWA OGBUREKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BDS
Contact information
Practice address
7500 CAMBRIDGE ST, HOUSTON, TX 77054-2032
(713) 486-4406
(713) 486-4416
Mailing address
7500 CAMBRIDGE ST, HOUSTON, TX 77054-2032
(713) 486-4406
(713) 486-4416
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
28579
TX
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
28579
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1418385
UNITED CONCORDIA
GA
01
—
22BDFBT
MEDICARE
GA
05
—
586469939A
—
GA
05
—
ZG0326
—
SC
Enumeration date
12/06/2006
Last updated
09/27/2024
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