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Individual
OLOLADE A REIS
Active
Individual
OLOLADE A REIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
K1636
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
174974904
—
TX
01
—
8F21285
MEDICARE PTAN
TX
01
—
8U3445
BCBS OF TEXAS
TX
01
—
P00300720
RAILROAD MEDICARE
TX
Enumeration date
09/20/2006
Last updated
08/14/2018
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