Individual
DR. KENNETH ESE OTAH SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD MSC FACC
Contact information
Practice address
138 ELDRIDGE RD, SUITE E, SUGAR LAND, TX 77478-4083
(281) 232-3886
(281) 232-3986
Mailing address
138 ELDRIDGE RD, SUITE E, SUGAR LAND, TX 77478-4083
(281) 232-3886
(281) 232-3986
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
L7835
TX
207RI0001X
Clinical & Laboratory Immunology (Internal Medicine) Physician
L7835
TX
207RI0011X
Interventional Cardiology Physician
Primary
L7835
TX
207RI0011X
Interventional Cardiology Physician
MD-25039
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1754541
—
TX
Enumeration date
10/14/2005
Last updated
12/02/2025
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