Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | P5859 | TX |
Y | 208600000X | Surgeon | P5859 | TX |
N | 2086X0206X | Surgical Oncologist | P5859 | TX |
NPI | 1093035511 |
---|---|
Provider Name | Houssam Osman |
First Address | Dallas, TX 75267-4096 |
Second Address | Richardson, TX 75082-3561 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2010 |
Last Update Date | 30/11/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
323051801 | (05) | TX |
8DS401 | BCBS (01) | TX |