MEDICARE: DR. CARL W OGLETREE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208800000X	Urology Physician	H3629	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194778258
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CARL W OGLETREE M.D.

Provider Business Mailing Address
First Line	:	PO BOX 1400
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77251-1400
Country	:	US
Telephone Number	:	713-351-0644
Fax Number	:	713-351-0633

Provider Business Practice Location Address
First Line	:	15200 SOUTHWEST FWY
Second Line	:	SUITE 380
City	:	SUGAR LAND
State	:	TX
Zip	:	77478-3845
Country	:	US
Telephone Number	:	281-565-3569
Fax Number	:	281-565-1911

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/18/2006
Last Update Date	:	05/27/2011

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