Provider Demographics
NPI:1427142629
Name:ADROGUE, HORACIO JOSE (MD)
Entity type:Individual
Prefix:DR
First Name:HORACIO
Middle Name:JOSE
Last Name:ADROGUE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2002 HOLCOMBE BLVD
Mailing Address - Street 2:RENAL SECTION 111J
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-4211
Mailing Address - Country:US
Mailing Address - Phone:713-798-8350
Mailing Address - Fax:713-794-7415
Practice Address - Street 1:2002 HOLCOMBE BLVD
Practice Address - Street 2:RENAL SECTION 111J
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-4211
Practice Address - Country:US
Practice Address - Phone:713-798-8350
Practice Address - Fax:713-794-7415
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2008-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF3395207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX80X585Medicare PIN
TXB20797Medicare UPIN
TX81J401Medicare PIN