Individual
STEPHEN OGAVU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8123 FARTHING LN, ROSHARON, TX 77583-6634
(832) 228-8483
Mailing address
PO BOX 421854, HOUSTON, TX 77242-1854
(832) 228-8483
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1000163
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000163
EMS PROVIDER LICENCE
TX
Enumeration date
08/21/2008
Last updated
11/05/2008
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