Individual provider · Type 1 NPI

Osasu Iyawe

Student in an Organized Health Care Education/Training Program · Dallas, TX

NPI number 1629911094 Active

Practice location

3500 Gaston Ave
Dallas, TX 75246-2017

Call (214) 820-3469 Map

Mailing address

20810 Bighorn Valley Ln
Richmond, TX 77407-2566

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1629911094

Osasu Iyawe's National Provider Identifier is 1629911094, issued on Apr 10, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Dallas, TX. The record was last updated on Apr 10, 2026.