IndividualActive
Agbolade Odutayo, D.O.
NPI 1316992779 · Emergency Medicine Physician · Cameron, TX
Provider details
- NPI number
- 1316992779
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- License
- K6196 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
300 W 4th St
Cameron, TX 76520-2509
Phone: (254) 697-3100
Fax: (254) 697-3112
Approximate (ZIP-level) locationGet directions
Mailing address
300 W 4th St
Cameron, TX 76520-2509
Registry dates
- Enumerated
- 2006-05-24
- Last updated
- 2024-01-29
- Certified
- 2024-01-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.