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Mobolaji Odelowo, MD
Specialist in Conroe, Texas
NPI 1073562419

Mobolaji Odelowo is a Specialist based in Conroe, TX. Mobolaji Odelowo practices in Conroe, TX and has the professional credentials of MD. The NPI Number for Mobolaji Odelowo is 1073562419 and holds a License No. L9832 (Texas).

The current practice location address for Mobolaji Odelowo is 600 S Conroe Medical Dr Ste 102, Conroe, TX and can be reached out via phone at 936-539-4031 and via fax at 936-539-4537.

Location: 600 S Conroe Medical Dr Ste 102, Conroe, TX, 77304-5341
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073562419
Provider Name
Mobolaji Odelowo
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
600 S Conroe Medical Dr Ste 102, Conroe, TX, 77304-5341
Phone Number
936-539-4031
Fax Number
936-539-4537
Provider Enumeration Date
05/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8BK450 01 TX BCBS
00Z8364 01 TX MEDICARE GROUP
171710003 05 TX
203040501 01 TX MEDICAID GROUP
003RP 01 TX BCBS GROUP
institution
Provider Business Practice Location Address Details
Address
600 S Conroe Medical Dr Ste 102
City
Conroe
State
Texas
Zip
77304-5341
Phone Number
936-539-4031
Fax Number
936-539-4537
person
Provider Business Mailing Address Details
Address
600 S Conroe Medical Dr Ste 102
City
Conroe
State
Texas
Zip
77304-5341
Phone Number
936-539-4031
Fax Number
936-539-4537
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
L9832 (Texas)
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.
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