MEDICARE: DONALD ORSOMARSO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	372600000X	Adult Companion

General Provider Information

NPI Number	:	1194524918
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONALD ORSOMARSO

Provider Business Mailing Address
First Line	:	7329 W SAM HOUSTON PKWY S STE 190
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77072-5265
Country	:	US
Telephone Number	:	512-789-9613
Fax Number	:	713-931-9002

Provider Business Practice Location Address
First Line	:	7333 W SAM HOUSTON PKWY S # 120
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77072-5409
Country	:	US
Telephone Number	:	512-789-9613
Fax Number	:	713-931-9004

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/12/2025
Last Update Date	:	03/12/2025

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Directions to “ DONALD ORSOMARSO ” Practice Location

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