Individual
DR. ESEROGHENE OTAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
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
208600000X
Surgery Physician
Primary
L6554
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1663841
—
TX
05
—
1703076
—
TX
Enumeration date
10/12/2005
Last updated
01/19/2012
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