NPIMap

Organization Active NPI

Stafford Renal

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Stafford, TX
National Provider Identifier
1447637251
Registry record updated Apr 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
STAFFORD RENAL
Practice address
12240 Murphy Rd Ste a
Stafford, TX 77477-2411
Phone
(832) 331-7148
NPI assigned
Apr 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2015

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

Authorized official

Name
Dr. Christian Ogbebor, MD
Title
Director
Phone
(832) 331-7148

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X TX Primary

Addresses

Primary practice location

12240 Murphy Rd Ste a
Stafford, TX 77477-2411

Mailing address

8544 Westbellfort
Ste 343
Houston, TX 77071
Phone (832) 331-7148

National Provider Directory

National Provider Directory

Locations

12240 Murphy Rd
Ste A
Stafford, TX 77477
Phone (469) 579-7020

NPI Registry JSON

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

{
    "created_epoch": "1430352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430352000000",
    "number": "1447637251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8544 WESTBELLFORT",
            "address_2": "STE 343",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77071",
            "telephone_number": "832-331-7148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12240 MURPHY RD STE A",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774772411",
            "telephone_number": "832-331-7148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAFFORD RENAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-30",
        "last_updated": "2015-04-30",
        "status": "A",
        "authorized_official_last_name": "OGBEBOR",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "832-331-7148",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2015; 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.