Provider Demographics
NPI:1467252783
Name:OSORIO, BIBIAN ELY
Entity type:Individual
Prefix:
First Name:BIBIAN
Middle Name:ELY
Last Name:OSORIO
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6003 SKYLINE VILLAGE PARK
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-7039
Mailing Address - Country:US
Mailing Address - Phone:713-899-4098
Mailing Address - Fax:
Practice Address - Street 1:6003 SKYLINE VILLAGE PARK
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-7039
Practice Address - Country:US
Practice Address - Phone:713-899-4098
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-17
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherGroup - Single Specialty