1154112001 NPI number — MS. GISELLE ANNETTE JIMENEZ OSORIO PHARMD

Table of content: MS. GISELLE ANNETTE JIMENEZ OSORIO PHARMD (NPI 1154112001)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1154112001 NPI number — MS. GISELLE ANNETTE JIMENEZ OSORIO PHARMD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
JIMENEZ OSORIO
Provider First Name:
GISELLE
Provider Middle Name:
ANNETTE
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
PHARMD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1154112001
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/13/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
24770 STOWBRIDGE DR APT 4208
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PORTER
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77365-7577
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-327-6308
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8000 RESEARCH FOREST DR STE 100
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
THE WOODLANDS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77382-1506
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-292-3861
Provider Business Practice Location Address Fax Number:
281-292-7714
Provider Enumeration Date:
05/13/2025

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 183500000X , with the licence number:  75576 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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