Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | ME134797 | FL |
Y | 207PP0204X | Pediatric Emergency Physician | S4359 | TX |
N | 2080P0204X | Pediatric Emergency Doctor | ME134797 | FL |
NPI | 1184020786 |
---|---|
Provider Name | Osayi Odia |
First Address | Kingwood, TX 77339 |
Second Address | Kingwood, TX 77339 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/11/2014 |
Last Update Date | 29/06/2020 |