MEDICARE: DR. OSARO AIREN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101Y00000X	Counselor
2	101YM0800X	Mental Health Counselor
3	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1497395792
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. OSARO AIREN

Provider Business Mailing Address
First Line	:	3235 WINDING RIDGE CIRCLE
Second Line	:
City	:	MANSFIELD
State	:	TX
Zip	:	76063
Country	:	US
Telephone Number	:	951-315-2375
Fax Number	:

Provider Business Practice Location Address
First Line	:	7524 MOSIER VIEW CT STE 200
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76118-7122
Country	:	US
Telephone Number	:	817-801-1612
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/14/2020
Last Update Date	:	01/14/2020

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Directions to “ DR. OSARO AIREN ” Practice Location

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