Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | M 5017 | TX |
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | M 5017 | TX |
NPI | 1255480430 |
---|---|
Provider Name | Dr. Oladapo Abimbola Alade |
First Address | Pearland, TX 77584-7298 |
Second Address | Houston, TX 77025-1669 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/01/2007 |
Last Update Date | 13/07/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
194330001 | (05) | TX |
194330002 | (05) | TX |
8W1103 | BCBS (01) | TX |