IDJAGBORO HEALTHCARE AND MEDICAL SERVICES INC
Ambulatory Health at Montgomery Rd, Houston, TX

License number
Texas PA03357
Category
Ambulatory Health
Type
Primary Care
Owner
Name: MR. DAMIAN OKPAKO IDJAGBORO PA-C
Title: CEO
Phone: (956) 536-1403
Address
Address
9999 W Montgomery Rd SUITE B, Houston, TX 77088
National Provider ID: 1912061276
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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IDJAGBORO HEALTHCARE AND MEDICAL SERVICES, INC

Sugar Land, TX  -  Houston, TX

Status:
Inactive
Industry:
Services-Misc
Doing business as:
Dr. Garza Family Night Clinic, Inc<br>Idjagboro Healthcare and Medical Services, Inc
Registration:
Dec 21, 2006
Addresses:
PO Box 1950, Sugar Land, TX 77487 (Mailing)
9999 W Montgomery Rd, Houston, TX 77088
State ID:
0800748809
Business type:
Domestic For-Profit Corporation
Directors:
Austin Orette (DIRECTOR, Director), 9999 W Montgomery SUITE B, Houston, TX 77088,Damian Idjagboro (DIRECTOR, Director), 9999 W Montgomery SUITE B, Houston, TX 77088,Elizabeth Vebangsi (DIRECTOR, Director), 9999 W Montgomery SUITE B, Houston, TX 77088,...
Agent:
Damian Okpako Idjagboro,9999 W Montgomery Rd, Houston, TX 77088 (Physical)
TIN:
32023939799

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