Organization
CENTER FOR GENERAL & LAPAROSCOPIC SURGERY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ESEROGHENE OTAH MD (PHYSICIAN)
(281) 232-3886
Entity
Organization
Contact information
Practice address
138 ELDRIDGE RD, SUITE E, SUGAR LAND, TX 77478-4083
(281) 232-3886
(281) 232-3986
Mailing address
138 ELDRIDGE RD, SUITE E, SUGAR LAND, TX 77478-4083
(281) 232-3886
(281) 232-3986
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
L6554
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1663841
SUFFIX 03 DR E OTAH
—
01
—
1703076
CTR FOR GEN AND LAP SURG
—
Enumeration date
10/07/2005
Last updated
01/24/2012
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