Provider Demographics
NPI: | 1629619358 |
---|---|
Name: | ABIRI, OSENI OMOMO (APRN) |
Entity Type: | Individual |
Prefix: | |
First Name: | OSENI |
Middle Name: | OMOMO |
Last Name: | ABIRI |
Suffix: | |
Gender: | M |
Credentials: | APRN |
Other - Prefix: | |
Other - First Name: | |
Other - Middle Name: | |
Other - Last Name: | |
Other - Suffix: | |
Other - Last Name Type: | |
Other - Credentials: | |
Mailing Address - Street 1: | 8700 COMMERCE PARK DR STE 218A |
Mailing Address - Street 2: | |
Mailing Address - City: | HOUSTON |
Mailing Address - State: | TX |
Mailing Address - Zip Code: | 77036-7431 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 713-269-8911 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 8700 COMMERCE PARK DR STE 218A |
Practice Address - Street 2: | |
Practice Address - City: | HOUSTON |
Practice Address - State: | TX |
Practice Address - Zip Code: | 77036-7431 |
Practice Address - Country: | US |
Practice Address - Phone: | 713-269-8911 |
Practice Address - Fax: | |
Is Sole Proprietor?: | No |
Enumeration Date: | 2019-10-03 |
Last Update Date: | 2022-12-23 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
TX | AP142735 | 101Y00000X, 101YA0400X, 101YM0800X, 101YP2500X, 2084H0002X, 2084P0800X, 2084P0804X, 2084P0805X, 363LP0808X, 363LP0808X |
TX | 773383 | 163WC0400X, 163WH1000X, 171M00000X, 2083C0008X, 2083P0901X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 363LP0808X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Psychiatric/Mental Health |
No | 101Y00000X | Behavioral Health & Social Service Providers | Counselor | |
No | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) |
No | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | Professional |
No | 163WC0400X | Nursing Service Providers | Registered Nurse | Case Management |
No | 163WH1000X | Nursing Service Providers | Registered Nurse | Hospice |
No | 171M00000X | Other Service Providers | Case Manager/Care Coordinator | |
No | 2083C0008X | Allopathic & Osteopathic Physicians | Preventive Medicine | Clinical Informatics |
No | 2083P0901X | Allopathic & Osteopathic Physicians | Preventive Medicine | Public Health & General Preventive Medicine |
No | 2084H0002X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Hospice and Palliative Medicine |
No | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry |
No | 2084P0804X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Child & Adolescent Psychiatry |
No | 2084P0805X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Geriatric Psychiatry |