Provider Demographics
NPI:1851608699
Name:OSAGIE, FESTUS UGBO
Entity Type:Individual
Prefix:MR
First Name:FESTUS
Middle Name:UGBO
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 1:13955 MURPHY RD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477
Mailing Address - Country:US
Mailing Address - Phone:713-385-6574
Mailing Address - Fax:
Practice Address - Street 1:13955 MURPHY RD
Practice Address - Street 2:SUITE 210
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477
Practice Address - Country:US
Practice Address - Phone:713-385-6574
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-31
Last Update Date:2010-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies