Organization Active NPI

Inkerra Medical PC

Doing business as Inkerra Facial Plastics & Rhinology PC

  • Surgery Physician
  • Houston, TX
National Provider Identifier
1679815377
Registry record updated Mar 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
N0472 Issued in TX
Legal business name
INKERRA MEDICAL PC
Doing business as
Inkerra Facial Plastics & Rhinology PC
Practice address
13215 Dotson Rd
Suite 140
Houston, TX 77070-4535
Phone
(281) 517-0008
Fax
(832) 415-9542
NPI assigned
Mar 20, 2013
Last updated
Mar 20, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2013

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

Authorized official

Name
Ifepo Sofola, MD
Title
President/Owner
Phone
(281) 517-0008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X N0472 TX Primary

Addresses

Primary practice location

13215 Dotson Rd
Suite 140
Houston, TX 77070-4535

Mailing address

63 N Bacopa Dr
The Woodlands, TX 77389-4980
Phone (281) 517-0008

Other names 1

  • Inkerra Facial Plastics & Rhinology PC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Inkerra Facial Plastics and Rhinology PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363737600000",
    "number": "1679815377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 N BACOPA DR",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773894980",
            "telephone_number": "281-517-0008",
            "fax_number": "832-415-9542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13215 DOTSON RD",
            "address_2": "SUITE 140",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770704535",
            "telephone_number": "281-517-0008",
            "fax_number": "832-415-9542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INKERRA MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-20",
        "last_updated": "2013-03-20",
        "status": "A",
        "authorized_official_last_name": "SOFOLA",
        "authorized_official_first_name": "IFEPO",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "281-517-0008",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "N0472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inkerra Facial Plastics & Rhinology PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 20, 2013; 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.