Individual
JOHN OSAMUYIMEN ODIASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
25700 INTERSTATE 45 N STE 440, SPRING, TX 77386-1967
(281) 651-2268
(281) 918-4736
Mailing address
8919 SQUARE VIEW LN, TOMBALL, TX 77375-1679
(909) 667-6885
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
1039109
TX
Other
Enumeration date
09/20/2023
Last updated
09/20/2023
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