Provider Demographics
NPI:1134694227
Name:OSANA MEDICAL CASE MANAGEMENT LLC
Entity Type:Organization
Organization Name:OSANA MEDICAL CASE MANAGEMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LETTICA
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON-HIGHSMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-830-2556
Mailing Address - Street 1:1601 MAIN ST STE 211
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469-3230
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1601 MAIN ST STE 211
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77469-3230
Practice Address - Country:US
Practice Address - Phone:832-830-2556
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-04
Last Update Date:2018-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management