P Praxis·MD
● Active Type 1 · Individual

Mobolaji Odelowo, MD

Radiology·Conroe, TX· NPI 1073562419 · Enumerated 2006 · 20 years on NPI
Odelowo is 1 of 3 radiology providers in Conroe and 1 of 408 in Texas.
NPI age
20 years
Enumerated 2006-05-10
Primary specialty
Radiology
Plus 2 subspecialties
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-12-12
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 408 active radiology providers in Texas.

NPI age
20 years
↑ 6 yr above median (14 yr)
State licenses
1 state
25% of peers hold multiple states
Subspecialties
2
In the 59% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-05Enumerated in NPPES
2006 2026

Where they practice

Practice location
600 S Conroe Medical Dr Ste 102
Conroe, TX 773045341
📞 9365394031fax 9365394537
Mailing address
600 S Conroe Medical Dr Ste 102
Conroe, TX 773045341
📞 9365394031fax 9365394537

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
2600 Saint Michael Dr
Texarkana, TX 755032372
📞 9036141000
Location 3
100 Medical Center Blvd, Suite 118
Conroe, TX 773042888
📞 9365394031fax 9365394537

Specialties

  • Radiology Primary
    A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
    TX license #L9832 taxonomy 2085R0204X
  • Radiology
    A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
    TX license #L9832 taxonomy 2085R0202X
  • Specialist
    An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
    TX license #L9832 taxonomy 174400000X

Identifiers

TypeValueNotes
01 (TX) 003RP BCBS GROUP
05 (TX) 171710003
01 (TX) 00Z8364 MEDICARE GROUP
01 (TX) 8BK450 BCBS
01 (TX) 203040501 MEDICAID GROUP

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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