Provider Demographics
NPI:1295394260
Name:DUTIL DRIGGS, OSMANI (FNP C)
Entity type:Individual
Prefix:
First Name:OSMANI
Middle Name:
Last Name:DUTIL DRIGGS
Suffix:
Gender:M
Credentials:FNP C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5102 JASPER GARDEN CIR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-3799
Mailing Address - Country:US
Mailing Address - Phone:713-427-9819
Mailing Address - Fax:
Practice Address - Street 1:5700 HIGHWAY 6 N STE 150
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-2697
Practice Address - Country:US
Practice Address - Phone:713-427-9819
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-12
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX955859163W00000X
TX1176832363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse