Provider Demographics
NPI:1407638281
Name:OSAGIE, KINGSLEY
Entity Type:Individual
Prefix:MR
First Name:KINGSLEY
Middle Name:
Last Name:OSAGIE
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 1:10101 SOUTHWEST FWY STE 311
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-1126
Mailing Address - Country:US
Mailing Address - Phone:281-250-4324
Mailing Address - Fax:713-777-9990
Practice Address - Street 1:10101 SOUTHWEST FWY STE 311
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1126
Practice Address - Country:US
Practice Address - Phone:281-250-4324
Practice Address - Fax:713-777-9990
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-17
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)