Provider Demographics
NPI:1548254154
Name:OUSEPH, FLORENCE (MD)
Entity type:Individual
Prefix:DR
First Name:FLORENCE
Middle Name:
Last Name:OUSEPH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:FLORENCE
Other - Middle Name:
Other - Last Name:RAMSAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2700 TIBBETS DR STE 404
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76022-6900
Mailing Address - Country:US
Mailing Address - Phone:817-280-9905
Mailing Address - Fax:817-280-9846
Practice Address - Street 1:2700 TIBBETS DR STE 404
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76022-6900
Practice Address - Country:US
Practice Address - Phone:817-280-9905
Practice Address - Fax:817-280-9846
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-09
Last Update Date:2019-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMDG07852084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX122660704Medicaid
B25322Medicare UPIN
TX00B50WMedicare PIN