Provider Demographics
NPI:1699865972
Name:OJEAGA, MACAULAY AIGBE SR (MD)
Entity type:Individual
Prefix:DR
First Name:MACAULAY
Middle Name:AIGBE
Last Name:OJEAGA
Suffix:SR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 5475
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78502-5475
Mailing Address - Country:US
Mailing Address - Phone:956-630-5600
Mailing Address - Fax:956-630-0005
Practice Address - Street 1:508 W EXPRESSWAY 83
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-2953
Practice Address - Country:US
Practice Address - Phone:956-630-5600
Practice Address - Fax:956-630-0005
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-14
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ3179207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX034408701Medicaid
TXF00833313OtherDPS#
TXF00833313OtherDPS#
FO-3033951OtherDEA #
TXF00833313OtherDPS#