Healthcare Provider Details

I. General information

NPI: 1831650514
Provider Name (Legal Business Name): ESOSA ADAH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2019
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7930 BROADWAY ST STE 112
PEARLAND TX
77581-7942
US

IV. Provider business mailing address

6550 MAPLERIDGE ST STE 115
HOUSTON TX
77081-4629
US

V. Phone/Fax

Practice location:
  • Phone: 281-701-5457
  • Fax: 281-605-6815
Mailing address:
  • Phone: 281-701-5457
  • Fax: 281-605-6815

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberV2424
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License NumberV2424
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: