1780842005 NPI number — MR. PATRICK N OGIDI SR.

Table of content: MR. PATRICK N OGIDI SR. (NPI 1780842005)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1780842005 NPI number — MR. PATRICK N OGIDI SR.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
OGIDI
Provider First Name:
PATRICK
Provider Middle Name:
N
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
SR.
Provider Credential Text:
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1780842005
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/23/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2440 TEXAS PKWY
Provider Second Line Business Mailing Address:
226
Provider Business Mailing Address City Name:
MISSOURI CITY
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77489-4000
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
281-403-4500
Provider Business Mailing Address Fax Number:
281-403-1022

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2440 TEXAS PKWY
Provider Second Line Business Practice Location Address:
226
Provider Business Practice Location Address City Name:
MISSOURI CITY
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77489-4000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-403-4500
Provider Business Practice Location Address Fax Number:
281-403-1022
Provider Enumeration Date:
05/23/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  009301 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 009301 . This is a "TEXAS DEPT. OF AGING & DISABILITY SERVICES" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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