Provider Demographics
NPI:1306480033
Name:OGT TEST & RESEARCH CENTER
Entity type:Organization
Organization Name:OGT TEST & RESEARCH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:EMMANUEL
Authorized Official - Middle Name:N
Authorized Official - Last Name:OGHAKPOR
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:214-660-0122
Mailing Address - Street 1:8035 E RL THRTN FWY STE 316
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75228-7018
Mailing Address - Country:US
Mailing Address - Phone:214-660-0122
Mailing Address - Fax:469-677-0737
Practice Address - Street 1:8035 E RL THRTN FWY STE 316
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75228-7018
Practice Address - Country:US
Practice Address - Phone:214-660-0122
Practice Address - Fax:469-677-0737
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-06
Last Update Date:2019-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1100XAmbulatory Health Care FacilitiesClinic/CenterResearch