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NPI Code Detail

MEDICARE: PATRICK ODIBO OJEAGA II

MEDICARE: PATRICK ODIBO OJEAGA II
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
1390200000XStudent in an Organized Health Care Education/Training ProgramBP10076497TX
2207X00000XOrthopaedic Surgery PhysicianU9619TX
3207X00000XOrthopaedic Surgery PhysicianME180054FL

General Provider Information

NPI Number : 1861070450
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICK ODIBO OJEAGA II
Provider Business Mailing Address
First Line : 1150 CAMPO SANO AVE
Second Line :
City : CORAL GABLES
State : FL
Zip : 33146-1100
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5323 HARRY HINES BLVD
Second Line :
City : DALLAS
State : TX
Zip : 75390-7201
Country : US
Telephone Number : 214-645-8300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2021
Last Update Date : 03/12/2026

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Directions to “ PATRICK ODIBO OJEAGA II ” Practice Location

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