Active NPI
Daniel Osuagwu
- Personal Care Attendant
- Houston, TX
National Provider Identifier
1033536065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- License
- 006749
- Practice address
- 10103 Fondren Rd
Suit #460
Houston, TX 77096-4556 - Phone
- (713) 773-1066
- Fax
- (713) 773-0445
- NPI assigned
- Mar 27, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | 0006749 | TX | |
| Personal Care Attendant | 3747P1801X | 006749 | TX | Primary |
Addresses
Primary practice location
10103 Fondren Rd
Suit #460
Houston, TX 77096-4556
Mailing address
10103 Fondren Rd
Suit #460
Houston, TX 77096-4556
Phone (713) 773-1066
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871628701 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0006749 | TX | MD | Intellectual & Developmental Disabilities Psychologist |
| 006749 | TX | MD | Personal Care Attendant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395878400000",
"number": "1033536065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10103 FONDREN RD",
"address_2": "SUIT #460",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770964556",
"telephone_number": "713-773-1066",
"fax_number": "713-773-0445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10103 FONDREN RD",
"address_2": "SUIT #460",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770964556",
"telephone_number": "713-773-1066",
"fax_number": "713-773-0445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSUAGWU",
"first_name": "DANIEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-03-27",
"last_updated": "2014-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TM1800X",
"taxonomy_group": "",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": "TX",
"license": "0006749",
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "TX",
"license": "006749",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1871628701",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.