Organization
BISSONNET INTERNAL MEDICINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OBIAJULU CLETUS EZENWABACHILI MD (OWNER)
(713) 484-9100
Entity
Organization
Contact information
Practice address
7737 SOUTHWEST FWY, SUITE 620, HOUSTON, TX 77074-1807
(713) 484-9100
(713) 484-7558
Mailing address
7737 SOUTHWEST FWY, SUITE 620, HOUSTON, TX 77074-1807
(713) 484-9100
(713) 484-7558
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
L0158
TX
Other
Enumeration date
07/16/2007
Last updated
07/16/2007
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