Healthcare Provider Details

I. General information

NPI: 1568426542
Provider Name (Legal Business Name): ROBERT GEORGE OGDEE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2006
Last Update Date: 02/23/2022
Certification Date: 02/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

305 SANDY CORNER RD
EL CAMPO TX
77437-9535
US

IV. Provider business mailing address

305 SANDY CORNER RD
EL CAMPO TX
77437-9535
US

V. Phone/Fax

Practice location:
  • Phone: 979-543-5510
  • Fax: 979-543-5510
Mailing address:
  • Phone: 979-543-5510
  • Fax: 979-543-5510

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberH6482
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: