Provider Demographics
NPI:1710632179
Name:OSUJI, BERNADETTE EBERE
Entity Type:Individual
Prefix:
First Name:BERNADETTE
Middle Name:EBERE
Last Name:OSUJI
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 1:24406 ROYAL PIKE DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77493-3160
Mailing Address - Country:US
Mailing Address - Phone:713-443-0722
Mailing Address - Fax:
Practice Address - Street 1:24406 ROYAL PIKE DR
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77493-3160
Practice Address - Country:US
Practice Address - Phone:713-443-0722
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-15
Last Update Date:2022-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities