Provider Demographics
NPI:1942884218
Name:OSAJI, JOY O (MD)
Entity Type:Individual
Prefix:
First Name:JOY
Middle Name:O
Last Name:OSAJI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JOY
Other - Middle Name:O
Other - Last Name:ADUKWU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2 LAKESIDE DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78248-1019
Mailing Address - Country:US
Mailing Address - Phone:210-803-2132
Mailing Address - Fax:
Practice Address - Street 1:3601 4TH ST STOP 6238
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79430-6238
Practice Address - Country:US
Practice Address - Phone:806-743-2929
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-11
Last Update Date:2021-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX726983390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program