Provider Demographics
NPI:1376217869
Name:AUGUSTA HEALTH PLLC
Entity Type:Organization
Organization Name:AUGUSTA HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:MISS
Authorized Official - First Name:FEYISEYE
Authorized Official - Middle Name:A
Authorized Official - Last Name:OSIKI
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:832-945-0416
Mailing Address - Street 1:4117 LEMAC DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77025-4633
Mailing Address - Country:US
Mailing Address - Phone:832-945-0416
Mailing Address - Fax:832-550-2094
Practice Address - Street 1:12440 EMILY CT STE 502
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-4572
Practice Address - Country:US
Practice Address - Phone:832-945-0416
Practice Address - Fax:832-550-2094
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-06
Last Update Date:2021-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty