Individual
DR. AUSTIN I OGWU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2505 W BELT LINE RD, LANCASTER, TX 75146-1930
(972) 230-8290
(972) 230-8274
Mailing address
2505 W BELT LINE RD, LANCASTER, TX 75146-1930
(972) 230-8290
(972) 230-8274
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
K0965
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00027J
BLUE CROSS
TX
01
—
00802U
PTAN
TX
01
—
5524910001
MEDICARE DME
TX
05
—
85C643
—
TX
Enumeration date
08/18/2006
Last updated
04/22/2020
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