MEDICARE: GEOFFREY ONSARE

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	164X00000X	Licensed Vocational Nurse	233707	TX

General Provider Information

NPI Number	:	1740847060
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GEOFFREY ONSARE

Provider Business Mailing Address
First Line	:	1219 TAMPICO ST
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76010-3535
Country	:	US
Telephone Number	:	682-561-0212
Fax Number	:

Provider Business Practice Location Address
First Line	:	1219 TAMPICO ST
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76010-3535
Country	:	US
Telephone Number	:	682-561-0212
Fax Number	:

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

Provider Enumeration Date	:	05/22/2019
Last Update Date	:	05/22/2019

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Directions to “ GEOFFREY ONSARE ” Practice Location

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