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
Fax: (281) 232-3986
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477541621 NPPES
Texas MEDICAID 1663841
Texas MEDICAID 1703076

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