Provider Demographics
NPI:1992141071
Name:OZASA, SETH (DC)
Entity type:Individual
Prefix:
First Name:SETH
Middle Name:
Last Name:OZASA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:SETH
Other - Middle Name:
Other - Last Name:OZASA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PTA
Mailing Address - Street 1:313 MEADOW WOOD CT
Mailing Address - Street 2:
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-5736
Mailing Address - Country:US
Mailing Address - Phone:832-380-8155
Mailing Address - Fax:281-619-7034
Practice Address - Street 1:313 MEADOW WOOD CT
Practice Address - Street 2:
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573
Practice Address - Country:US
Practice Address - Phone:832-380-8155
Practice Address - Fax:281-619-7034
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-16
Last Update Date:2018-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2087147225200000X
TX13917111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant