Basic Information
| Provider Information | |||||||||
| NPI: | 1063677672 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | AGUORU | ||||||||
| FirstName: | OKEZIE | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 1626 | ||||||||
| Address2: | |||||||||
| City: | CYPRESS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 774101626 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7137969500 | ||||||||
| FaxNumber: | 7137969504 | ||||||||
| Practice Location | |||||||||
| Address1: | 3003 S LOOP W STE 204 | ||||||||
| Address2: | |||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770541371 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7137969500 | ||||||||
| FaxNumber: | 7137969504 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/23/2008 | ||||||||
| LastUpdateDate: | 11/15/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | D0067827 | MD | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | N6131 | TX | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.