Active NPI
Eghosa Gabriel Igori
- Driver
- The Colony, TX
National Provider Identifier
1508674599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- 51462457
- Practice address
- 4925 Wampler Dr
The Colony, TX 75056-1024 - Phone
- (469) 379-7405
- NPI assigned
- Dec 21, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Technician/Technologist | 156F00000X | |||
| Contractor | 171W00000X | |||
| Non-emergency Medical Transport (VAN) | 343900000X | |||
| Taxi | 344600000X | |||
| Private Vehicle | 347C00000X | |||
| Driver | 172A00000X | 51462457 | TX | Primary |
Addresses
Primary practice location
4925 Wampler Dr
The Colony, TX 75056-1024
Mailing address
4629 Chapman St
The Colony, TX 75056-3107
Phone (945) 268-3192
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51462457 | TX | MD | Driver |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrashers Nest | Multi-Specialty | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734739200000",
"number": "1508674599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4629 CHAPMAN ST",
"city": "THE COLONY",
"state": "TX",
"postal_code": "750563107",
"telephone_number": "945-268-3192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4925 WAMPLER DR",
"city": "THE COLONY",
"state": "TX",
"postal_code": "750561024",
"telephone_number": "469-379-7405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IGORI",
"first_name": "EGHOSA",
"middle_name": "GABRIEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-12-21",
"last_updated": "2024-12-21",
"certification_date": "2024-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "156F00000X",
"taxonomy_group": "",
"desc": "Technician/Technologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": null,
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
},
{
"code": "344600000X",
"taxonomy_group": "",
"desc": "Taxi",
"state": null,
"license": null,
"primary": false
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": null,
"license": null,
"primary": false
},
{
"code": "172A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Driver",
"state": "TX",
"license": "51462457",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in The Colony, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.