Organization
MARCOS HIROSHI IKEDA PA
Active
Other names
Bellissima Womens Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCOS HIROSHI IKEDA M.D. (OWNER)
(713) 692-0600
Entity
Organization
Contact information
Practice address
415 W LITTLE YORK RD, SUITE C, HOUSTON, TX 77076-1349
(713) 692-0600
(713) 699-9352
Mailing address
415 W LITTLE YORK RD, SUITE C, HOUSTON, TX 77076-1349
(713) 692-0600
(713) 699-9352
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
N6375
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
213947901
—
TX
Enumeration date
12/22/2014
Last updated
03/31/2017
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