Provider Demographics
NPI:1982995510
Name:EKHAGUERE, OMOSEDE (MD)
Entity Type:Individual
Prefix:DR
First Name:OMOSEDE
Middle Name:
Last Name:EKHAGUERE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8901 BOONE RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77099-1659
Mailing Address - Country:US
Mailing Address - Phone:281-454-0521
Mailing Address - Fax:281-454-0516
Practice Address - Street 1:8901 BOONE RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77099-1659
Practice Address - Country:US
Practice Address - Phone:281-454-0521
Practice Address - Fax:281-454-0516
Is Sole Proprietor?:No
Enumeration Date:2011-04-30
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP9188208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics