NPI 1205670387

Osamudiamen Joseph Obanor

Practitioner Chore Provider Fulshear, TX

Practice location

Address: 4218 Brannon Branch CT, Fulshear, TX 77441-1543
Phone: (832) 392-1786
Fax: (832) 437-7341
Mailing address: 2419 Fairbreeze Dr, Katy, TX 77494-5103

Registered specialties

Chore Provider Primary

Nursing Service Related Providers Taxonomy 372500000X Licence 149759 (TX)

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Registry record

NPI: 1205670387
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Jun 2024
Record last updated: 24 Jun 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.