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NPI Code Detail

MEDICARE: RUBY OSAWEY

MEDICARE: RUBY OSAWEY
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
1106S00000XBehavior TechnicianTX

General Provider Information

NPI Number : 1437931102
Entity Type Code : Individual
Provider Name (Legal Business Name) : RUBY OSAWEY
Provider Business Mailing Address
First Line : 700 UNIVERSITY DR
Second Line :
City : PRAIRIE VIEW
State : TX
Zip : 77445-6850
Country : US
Telephone Number : 214-431-7757
Fax Number :
Provider Business Practice Location Address
First Line : 3327 MADISON ELM ST
Second Line :
City : KATY
State : TX
Zip : 77493-4411
Country : US
Telephone Number : 832-780-4054
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2023
Last Update Date : 10/17/2023

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Directions to “ RUBY OSAWEY ” Practice Location

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