Organization
JOHN O. IKE MD, MPH, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN IKE M.D. (MEDICAL DIRECTOR)
(713) 777-2790
Entity
Organization
Contact information
Practice address
7500 BEECHNUT ST STE 152, HOUSTON, TX 77074-4310
(713) 777-2790
Mailing address
7500 BEECHNUT ST STE 152, HOUSTON, TX 77074-4310
(713) 777-2790
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
J7524
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139822420
—
TX
Enumeration date
02/28/2012
Last updated
02/28/2012
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