Otah, Eseroghene
Otah, Eseroghene is an sole proprietor health care provider with primary practice located at 138 Eldridge Rd Suite E, Sugar Land TX 77478-4083. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Otah, Eseroghene can be contacted via phone (281) 232-3886.Contact Information
Primary practice address
138 Eldridge Rd Suite E
Sugar Land TX 77478-4083
Phone: (281) 232-3886
Fax: (281) 232-3986
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | L6554 | Texas |
Profile Details
| NPI number | 1477541621 |
|---|---|
| LBN Legal business name | Otah, Eseroghene |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 12th, 2005 |
| Last updated | Jan 19th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477541621 | NPPES |
| Texas | MEDICAID | 1663841 | |
| Texas | MEDICAID | 1703076 |
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