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Search › Texas › 207P00000X

Agbolade Odutayo, D.O

NPI 1316992779 · on the registry since 2006 · sole proprietor

Practice

Address
300 W 4th St
Cameron, TX 76520
Phone
(254) 697-3100
Fax
(254) 697-3112
Organisation at this address
Gateway Medcare Llp
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
207P00000X
207P00000X
Also registered as
207R00000X
207Q00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-01-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas