| O Family Dentistry | |
|
8190 Barker Cypress Rd Ste 200 Cypress TX 77433-2279 | |
| (832) 967-7332 | |
| Not Available |
| Full Name | O Family Dentistry |
|---|---|
| Speciality | Clinic/Center |
| Location | 8190 Barker Cypress Rd Ste 200, Cypress, Texas |
| Authorized Official Name and Position | Irabor I Okogbo (PRESIDENT) |
| Authorized Official Contact | 8326744932 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| O Family Dentistry 8190 Barker Cypress Rd Ste 200 Cypress TX 77433-2279 Ph: () - | O Family Dentistry 8190 Barker Cypress Rd Ste 200 Cypress TX 77433-2279 Ph: (832) 967-7332 |
| NPI Number | 1841796489 |
|---|---|
| Provider Enumeration Date | 04/03/2018 |
| Last Update Date | 03/26/2019 |
| Medicare PECOS PAC ID | 5092055244 |
|---|---|
| Medicare Enrollment ID | O20190326000232 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841796489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 27752 (Texas) | Primary |
| Provider Name | Irabor Idenobe Okogbo |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1063788636 PECOS PAC ID: 7719227966 Enrollment ID: I20190326002139 |
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