Provider Demographics
NPI:1376844738
Name:OSUOZAH, GLORIA E (APRN)
Entity Type:Individual
Prefix:
First Name:GLORIA
Middle Name:E
Last Name:OSUOZAH
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:GLORIA
Other - Middle Name:EKENE
Other - Last Name:OSUOZAH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:APRN
Mailing Address - Street 1:1430 COLLIER ST
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78704-2911
Mailing Address - Country:US
Mailing Address - Phone:512-472-4357
Mailing Address - Fax:512-703-1394
Practice Address - Street 1:1009 N GEORGETOWN ST
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664-3289
Practice Address - Country:US
Practice Address - Phone:512-244-8480
Practice Address - Fax:512-244-8229
Is Sole Proprietor?:No
Enumeration Date:2010-11-16
Last Update Date:2020-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP145198363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health