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Individual

H MICHAEL OGBURN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7777 SOUTHWEST FREEWAY, SUITE 1052, HOUSTON, TX 77074
(713) 988-8776
(713) 988-8662
Mailing address
450 THIS WAY ST STE B, LAKE JACKSON, TX 77566-5152
(979) 297-2220
(979) 297-3330

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
F3572
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00HK40
BCBS#
05
123311601
TX
05
123311604
TX
05
123311609
TX
01
390001408
RARILROAD GBA#
01
390002501
RAILROAD GBA #
01
82C329
BCBS
TX
01
8DE542
BC/BS #
TX
01
P01090518
RAILROAD MEDICARE PTAN
TX
Enumeration date
07/07/2006
Last updated
01/23/2025
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