Organization Active NPI

Azog Professional Association

  • General Practice Physician
  • Houston, TX
National Provider Identifier
1023535457
Registry record updated Jun 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
Q9574 Issued in TX
Legal business name
AZOG PROFESSIONAL ASSOCIATION
Practice address
2525 North Loop W Ste 408
Houston, TX 77008-1027
Phone
(832) 645-2467
NPI assigned
Aug 25, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kelechi Azuogu, MD
Title
Physician
Phone
(832) 443-2909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Q9574 TX Primary

Addresses

Primary practice location

2525 North Loop W Ste 408
Houston, TX 77008-1027

Mailing address

6930 Sable River Dr
Missouri City, TX 77459-5055
Phone (832) 443-2909

National Provider Directory

National Provider Directory

Locations

2525 North Loop W
Ste 408
Houston, TX 77008
Phone (713) 623-6306

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1503619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592956800000",
    "number": "1023535457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6930 SABLE RIVER DR",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774595055",
            "telephone_number": "832-443-2909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 NORTH LOOP W STE 408",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081027",
            "telephone_number": "832-645-2467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZOG PROFESSIONAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-25",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A",
        "authorized_official_last_name": "AZUOGU",
        "authorized_official_first_name": "KELECHI",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "832-443-2909",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "TX",
            "license": "Q9574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.