Individual
OLUWOLE E OLADUTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.,
Contact information
Practice address
306 LAKEGLEN CT, SUGAR LAND, TX 77478-3986
(281) 238-5480
(832) 595-9796
Mailing address
PO BOX 1674, SUGAR LAND, TX 77487-1674
(281) 238-5480
(832) 595-9796
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
J0170
TX
207LP2900X
Pain Medicine (Anesthesiology) Physician
J0170
TX
208VP0014X
Interventional Pain Medicine Physician
Primary
J0170
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0045EE
BCBS OF TEXAS
TX
05
—
140304004
—
TX
Enumeration date
10/24/2006
Last updated
06/03/2021
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