Individual
VICTOR A ODERINDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17207 KUYKENDAHL RD, SUITE 100, SPRING, TX 77379-8423
(281) 374-8555
(281) 374-8335
Mailing address
17207 KUYKENDAHL RD, SUITE 100, SPRING, TX 77379-8423
(281) 374-8555
(281) 374-8335
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
L1148
TX
2084P0804X
Child & Adolescent Psychiatry Physician
L1148
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8K0020
BC/BS NUMBER
TX
Enumeration date
09/09/2005
Last updated
04/18/2008
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