Provider Demographics
NPI:1992979306
Name:OJI, IKE
Entity type:Individual
Prefix:
First Name:IKE
Middle Name:
Last Name:OJI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5868A-1 WESTHEIMER RD
Mailing Address - Street 2:STE 308
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-5641
Mailing Address - Country:US
Mailing Address - Phone:713-939-8309
Mailing Address - Fax:713-939-8319
Practice Address - Street 1:5450 NW CENTRAL DR
Practice Address - Street 2:STE 240
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77092-2017
Practice Address - Country:US
Practice Address - Phone:713-939-8309
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-16
Last Update Date:2008-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10000503416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX193601501Medicaid
TX193601501Medicaid
TX193601501Medicaid