Al-Azzawi, Osamah M.

Al-Azzawi, Osamah M. is an individual health care provider with primary practice located at 329 E Gibson St , Jasper TX 75951-5028. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / Dentist is his primary health care specialty. Al-Azzawi, Osamah M. can be contacted via phone (409) 489-0066.

Contact Information

Primary practice address
329 E Gibson St Jasper TX 75951-5028
Phone: (409) 489-0066
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 37783 Texas
Dental Providers / General Practice 1223G0001X 37783 Texas

Profile Details

NPI number 1134897010
LBN Legal business name Al-Azzawi, Osamah M.
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 3rd, 2021
Last updated Jun 28th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134897010 NPPES
Texas Other 37783 DENTAL LICENSE

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