Provider Demographics
NPI:1124485677
Name:OWUSU, DALASI BUNCHIE
Entity type:Individual
Prefix:
First Name:DALASI
Middle Name:BUNCHIE
Last Name:OWUSU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2040 BABCOCK RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-4425
Mailing Address - Country:US
Mailing Address - Phone:210-568-7344
Mailing Address - Fax:210-384-2581
Practice Address - Street 1:2040 BABCOCK RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-4425
Practice Address - Country:US
Practice Address - Phone:210-568-7344
Practice Address - Fax:210-384-2581
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-27
Last Update Date:2020-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146D00000XEmergency Medical Service ProvidersPersonal Emergency Response Attendant