Provider Demographics
NPI:1194524918
Name:ORSOMARSO, DONALD
Entity type:Individual
Prefix:
First Name:DONALD
Middle Name:
Last Name:ORSOMARSO
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7329 W SAM HOUSTON PKWY S STE 190
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77072-5265
Mailing Address - Country:US
Mailing Address - Phone:512-789-9613
Mailing Address - Fax:713-931-9002
Practice Address - Street 1:7333 W SAM HOUSTON PKWY S # 120
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072-5409
Practice Address - Country:US
Practice Address - Phone:512-789-9613
Practice Address - Fax:713-931-9004
Is Sole Proprietor?:No
Enumeration Date:2025-03-12
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion