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Individual

OLULADE O ADEGOKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA-C

Contact information

Practice address
1500 CITYWEST BLVD STE 300, HOUSTON, TX 77042
(713) 620-4000
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(713) 620-4000

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP127857 / RN 874817
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
348005501
TX
Enumeration date
07/01/2015
Last updated
06/11/2019
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