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General NPI Number Information
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NPI Number | 1407620164
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Entity Type | Organization
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Legal Business Name | TOSA BEHAVIORAL SERVICES INC
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Dates
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Enumeration Date | 11/13/2023
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Last Update Date | 01/31/2026
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Provider Practice Location Address
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Address Line | 14526 OLD KATY RD SUITE 106
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City | HOUSTON
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State | TX
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Zip | 77079
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Country | US
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Telephone | 713-498-6581
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Fax |
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Provider Business Mailing Address
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Address Line | 14526 OLD KATY ROAD SUITE 106
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City | HOUSTON
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State | TX
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Zip | 77079
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Country | US
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Telephone | 713-498-6581
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | OSAYANDE IDUGBOE
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Credential |
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Telephone | 713-498-6581
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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