Provider Demographics
NPI:1235707894
Name:OSITA, JONAS
Entity Type:Individual
Prefix:
First Name:JONAS
Middle Name:
Last Name:OSITA
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 1:6403 HIGHLAND PINE LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77091-2267
Mailing Address - Country:US
Mailing Address - Phone:281-818-6797
Mailing Address - Fax:
Practice Address - Street 1:2100 WEST LOOP S STE 800
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-3739
Practice Address - Country:US
Practice Address - Phone:281-818-6797
Practice Address - Fax:346-299-5177
Is Sole Proprietor?:No
Enumeration Date:2021-06-10
Last Update Date:2023-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist