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Individual

DANIEL OSUAGWU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
10103 FONDREN RD, SUIT #460, HOUSTON, TX 77096-4556
(713) 773-1066
(713) 773-0445
Mailing address
10103 FONDREN RD, SUIT #460, HOUSTON, TX 77096-4556
(713) 773-1066
(713) 773-0445

Taxonomy

Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
0006749
TX
3747P1801X
Personal Care Attendant
Primary
006749
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1871628701
TX
Enumeration date
03/27/2014
Last updated
03/27/2014
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