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Individual

ROGER B OLADE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
12155 SHADOW CREEK PKWY STE 114, PEARLAND, TX 77584-7289
(832) 263-7490
(888) 977-1299
Mailing address
12155 SHADOW CREEK PKWY STE 114, PEARLAND, TX 77584-7289
(832) 263-7490
(888) 977-1299

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
Q2173
TX
207R00000X
Internal Medicine Physician
32339
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
565632720A
GA
Enumeration date
06/18/2005
Last updated
12/04/2023
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