| Bayou Healthcare Pa | |
|
11000 Fondren Rd Building # A Houston TX 77096-5513 | |
| (713) 271-2800 | |
| (713) 271-6697 |
| Full Name | Bayou Healthcare Pa |
|---|---|
| Speciality | Physical Medicine & Rehabilitation |
| Location | 11000 Fondren Rd, Houston, Texas |
| Authorized Official Name and Position | John Chike Anigbogu (PRESIDENT) |
| Authorized Official Contact | 7132712800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bayou Healthcare Pa 11000 Fondren Rd Building # A Houston TX 77096-5513 Ph: (713) 271-2800 | Bayou Healthcare Pa 11000 Fondren Rd Building # A Houston TX 77096-5513 Ph: (713) 271-2800 |
| NPI Number | 1023138385 |
|---|---|
| Provider Enumeration Date | 03/30/2007 |
| Last Update Date | 09/11/2025 |
| Medicare PECOS PAC ID | 9537331095 |
|---|---|
| Medicare Enrollment ID | O20111006000234 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023138385 | NPI | - | NPPES |
| Z000063H8 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Texas) | Secondary |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | (Texas) | Primary |
| Provider Name | John Anigbogu |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1497718688 PECOS PAC ID: 4082886544 Enrollment ID: I20111117000562 |
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