Provider Demographics
NPI:1154112001
Name:JIMENEZ OSORIO, GISELLE ANNETTE (PHARMD)
Entity type:Individual
Prefix:MS
First Name:GISELLE
Middle Name:ANNETTE
Last Name:JIMENEZ OSORIO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:24770 STOWBRIDGE DR APT 4208
Mailing Address - Street 2:
Mailing Address - City:PORTER
Mailing Address - State:TX
Mailing Address - Zip Code:77365-7577
Mailing Address - Country:US
Mailing Address - Phone:787-327-6308
Mailing Address - Fax:
Practice Address - Street 1:8000 RESEARCH FOREST DR STE 100
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77382-1506
Practice Address - Country:US
Practice Address - Phone:281-292-3861
Practice Address - Fax:281-292-7714
Is Sole Proprietor?:No
Enumeration Date:2025-05-13
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX75576183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist