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Individual

JOSEPH J OOLUT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
411 PARK GROVE DR STE 310, KATY, TX 77450-1580
(281) 579-5799
(281) 579-5798
Mailing address
411 PARK GROVE LN SUITE 310, KATY, TX 77450-1088
(713) 464-9100
(713) 468-6183

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
M4410
TX
207RN0300X
Nephrology Physician
Primary
M4410
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
181612605
TX
01
8GF316
BCBS
TX
Enumeration date
08/01/2006
Last updated
03/25/2020
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