Provider Demographics
NPI:1366474769
Name:OSAI, WILLIAM EFEHI
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:EFEHI
Last Name:OSAI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:WILLIAM
Other - Middle Name:EFEHI
Other - Last Name:OSAIGBOUO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:8313 SOUTHWEST FWY
Mailing Address - Street 2:SUITE 105
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-1611
Mailing Address - Country:US
Mailing Address - Phone:713-773-1102
Mailing Address - Fax:832-369-7355
Practice Address - Street 1:8313 SOUTHWEST FWY
Practice Address - Street 2:SUITE 105
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1611
Practice Address - Country:US
Practice Address - Phone:713-773-1102
Practice Address - Fax:832-369-7355
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2013-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX600763363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8Y3014OtherBC/BS
TX1366474769OtherNPI
TX042547209Medicaid
TX042547212Medicaid
TX042547208Medicaid
TX042547210Medicaid
TX8C7046Medicare ID - Type UnspecifiedMCR GROUP 00622R
TX042547209Medicaid
TXS96685Medicare UPIN
TX8C7045Medicare ID - Type UnspecifiedMCR GROUP 00621R
TX042547210Medicaid
TX042547212Medicaid