Mobolaji Odelowo is a Specialist in Conroe, Texas. Mobolaji Odelowo practices all healthcare services and medical treatments related to Specialist. The NPI Number for Mobolaji Odelowo is 1073562419. The last update date is 2021-03-02.
Mobolaji Odelowo's current location address is 600 S Conroe Medical Dr Ste 102, Conroe, Texas. You can contact this provider via phone number 9365394031 and fax number 9365394537. The mailing address for Mobolaji Odelowo is 600 S Conroe Medical Dr Ste 102, Conroe, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mobolaji Odelowo |
|---|---|
| Address | 600 S Conroe Medical Dr Ste 102, Conroe, Texas |
| Phone Number | 9365394031 |
| Fax Number | 9365394537 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1073562419 |
|---|---|
| Provider Enumeration Date | 2006-05-10 |
| Last Updated Date | 2021-03-02 |
Provider Mailing Address Detail
| Address | 600 S Conroe Medical Dr Ste 102 |
|---|---|
| City | Conroe |
| State | Texas (TX) |
| Post Code | 773045341 |
| Phone Number | 9365394031 |
| Fax Number | 9365394537 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | L9832 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8BK450 | TX | BCBS | |
| 00Z8364 | TX | MEDICARE GROUP | |
| 171710003 | TX | -- | |
| 203040501 | TX | MEDICAID GROUP | |
| 003RP | TX | BCBS GROUP |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Mobolaji Odelowo by the Centers for Medicare & Medicaid Services?
The Mobolaji Odelowo has been assigned the NPI (National Provider Identifier) 1073562419 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Mobolaji Odelowo located?
The Mobolaji Odelowo is located at 600 S Conroe Medical Dr Ste 102, Conroe, TX 773045341.
What is the Mobolaji Odelowo's area of specialization and corresponding taxonomy classification?
The Mobolaji Odelowo's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.
When did the Mobolaji Odelowo receive its 1073562419?
The Mobolaji Odelowo was issued its 1073562419 on 2006-05-10, which is the date when the organization was assigned this unique identifier.
When was the Mobolaji Odelowo's information last updated?
The Mobolaji Odelowo's information was last updated on 2021-03-02.
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