Individual
DORIS OVBIYE OSEMWOTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
16605 SOUTHWEST FWY STE 175, SUGAR LAND, TX 77479-0003
(281) 302-5645
(713) 429-5207
Mailing address
16605 SOUTHWEST FWY STE 175, SUGAR LAND, TX 77479-0003
(281) 302-5645
(713) 429-5207
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
AP132638
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45-0675246
MEDICARE, MEDICAID, PRIVATE INSURANCE
TX
Enumeration date
05/18/2017
Last updated
07/21/2022
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