Provider Demographics
NPI:1114542743
Name:OSAIKHUIWU, NOSA
Entity Type:Individual
Prefix:
First Name:NOSA
Middle Name:
Last Name:OSAIKHUIWU
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24515 FLORA MEADOW DR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77373-5079
Mailing Address - Country:US
Mailing Address - Phone:346-831-0821
Mailing Address - Fax:346-831-0831
Practice Address - Street 1:24515 FLORA MEADOW DR
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77373-5079
Practice Address - Country:US
Practice Address - Phone:346-831-0821
Practice Address - Fax:346-831-0831
Is Sole Proprietor?:No
Enumeration Date:2020-06-09
Last Update Date:2020-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide