Provider Demographics
NPI:1801100128
Name:OGLETREE, DELLA RENEE
Entity type:Individual
Prefix:
First Name:DELLA
Middle Name:RENEE
Last Name:OGLETREE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1235 NORTH LOOP W
Mailing Address - Street 2:SUITE 707
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-1758
Mailing Address - Country:US
Mailing Address - Phone:713-697-1226
Mailing Address - Fax:713-697-7979
Practice Address - Street 1:1235 NORTH LOOP W
Practice Address - Street 2:SUITE 707
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-1758
Practice Address - Country:US
Practice Address - Phone:713-697-1226
Practice Address - Fax:713-697-7979
Is Sole Proprietor?:No
Enumeration Date:2010-07-28
Last Update Date:2010-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator