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Agbolade Odutayo is one of 11 emergency medicine physicians practicing in Crockett, Texas .
Agbolade Odutayo practices with ESS Of Crockett, LLC and ESS Of Port Lavaca LLC.
Registry record (NPPES)
NPI
1316992779
Type
Type 1 · Individual
Primary taxonomy
Emergency Medicine · 207P00000X
Address on file
300 W 4th St Cameron, TX 76520-2509 (254) 697-3100
Enumerated
May 24, 2006
Record last updated
Jan 29, 2024
License states listed
TX
Medicare (CMS)
Enrollment
Medicare-enrolled in TXEmergency Medicine
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
1100 E Loop Suite 304
Crockett , TX 75835
(936) 931-3891
815 N Virginia St
Port Lavaca , TX 77979
(361) 552-6713
More emergency medicine physicians in Crockett
Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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