Organization
BIJU OOMMEN, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BIJU OOMMEN M.D. (OWNER)
(281) 389-0366
Entity
Organization
Contact information
Practice address
815 S VOSS RD, HOUSTON, TX 77057-1031
(281) 389-0366
(281) 596-4357
Mailing address
8307 KNIGHT RD, HOUSTON, TX 77054-3905
(713) 796-9955
(713) 796-9779
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
L5863
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0018PS
BLUE CROSS BLUE SHIELD
TX
05
—
191391501
—
TX
01
—
DF9433
RR MEDICARE
TX
Enumeration date
08/24/2006
Last updated
06/20/2017
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