MEDICARE: BIBIAN ELY OSORIO

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	246Z00000X	Other Specialist/Technologist

General Provider Information

NPI Number	:	1467252783
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BIBIAN ELY OSORIO

Provider Business Mailing Address
First Line	:	6003 SKYLINE VILLAGE PARK
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77057-7039
Country	:	US
Telephone Number	:	713-899-4098
Fax Number	:

Provider Business Practice Location Address
First Line	:	6003 SKYLINE VILLAGE PARK
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77057-7039
Country	:	US
Telephone Number	:	713-899-4098
Fax Number	:

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

Provider Enumeration Date	:	03/17/2025
Last Update Date	:	03/17/2025

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Directions to “ BIBIAN ELY OSORIO ” Practice Location

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