Provider Demographics
NPI:1437931102
Name:OSAWEY, RUBY
Entity Type:Individual
Prefix:
First Name:RUBY
Middle Name:
Last Name:OSAWEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:PRAIRIE VIEW
Mailing Address - State:TX
Mailing Address - Zip Code:77445-6850
Mailing Address - Country:US
Mailing Address - Phone:214-431-7757
Mailing Address - Fax:
Practice Address - Street 1:3327 MADISON ELM ST
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77493-4411
Practice Address - Country:US
Practice Address - Phone:832-780-4054
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-17
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician