Provider Demographics
NPI:1598194680
Name:OSIOH, DARSHUNDA
Entity Type:Individual
Prefix:
First Name:DARSHUNDA
Middle Name:
Last Name:OSIOH
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 1:7629 RYANRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75232-4430
Mailing Address - Country:US
Mailing Address - Phone:214-603-0990
Mailing Address - Fax:
Practice Address - Street 1:7629 RYANRIDGE DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75232-4430
Practice Address - Country:US
Practice Address - Phone:214-603-0990
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-08
Last Update Date:2013-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX174V00000X172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker