Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

La Providence Medical Center

Organization Pediatrics Physician · NPI 1063824829

La Providence Medical Center is a Pediatrics Physician in Houston, Texas. Licensed in Louisiana. Registered with an NPI since 2014.

Licensed in
LA
In the registry since
2014

Practice location Address checks out

9644 Court Glen Dr
Houston, TX 77099-2541
Phone: (713) 909-3139
Fax: (713) 909-6002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 201564 (LA)

Record details

NPI number1063824829
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ifeyinwa Onwudiwe — Owner/Md · (713) 909-3139
NPI enumeratedMay 28, 2014
Last updated in NPPESJuly 25, 2014
Mailing address9644 Court Glen Dr, Houston, TX 77099-2541

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