Dr. Agbolade O. Odutayo, DO
Dr. Agbolade O. Odutayo, DO is an Emergency Medicine in Cameron, Texas. Graduated from New York College of Osteo Medicine of New York Institute of Technology in 1996, 30 years ago. Practices with Ess of Crockett, LLC, a 20-clinician group and accepts Medicare assignment. Licensed in Texas.
- Years since qualifying
- 30
- Trained at
- New York College of Osteo Medicine of New York Institute of Technology
- Licensed in
- TX
- In the registry since
- 2006
- Specialties on file
- 3
What do these letters mean?
- DO — Doctor of Osteopathic Medicine
- A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.
Practice location Address checks out
300 W 4th StCameron, TX 76520-2509
Phone: (254) 697-3100
Fax: (254) 697-3112
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Emergency Medicine Physician (primary) | Taxonomy 207P00000X · Licence K6196 (TX) |
|---|---|
| Internal Medicine Physician | Taxonomy 207R00000X · Licence K6196 (TX) |
| Family Medicine Physician | Taxonomy 207Q00000X · Licence K6196 (TX) |
Record details
| NPI number | 1316992779 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DO |
| Sole proprietor | Yes |
| NPI enumerated | May 24, 2006 |
| Last updated in NPPES | January 29, 2024 |
| Certification date | January 12, 2024 |
Medicare enrollment
| Medicare specialty | EMERGENCY MEDICINE |
|---|---|
| Also practises | INTERNAL MEDICINE |
| Medical school | NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY |
| Graduated | 1996 (30 years in practice) |
| Group practice | Ess Of Crockett, Llc — 20 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Cameron
-
Gateway Medcare LLP
300 W 4th St, Cameron, TX 76520-2509 · (254) 697-3100