MEDICARE: OSLER KAMATH D.C.

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	111NR0400X	Rehabilitation Chiropractor	DC8454TX	TX

General Provider Information

NPI Number	:	1932220993
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OSLER KAMATH D.C.

Provider Business Mailing Address
First Line	:	3523 MCKINNEY AVE # 246
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75204-1401
Country	:	US
Telephone Number	:	214-432-0910
Fax Number	:	214-559-0898

Provider Business Practice Location Address
First Line	:	7913 GREEN VALLEY DR
Second Line	:
City	:	NORTH RICHLAND HILLS
State	:	TX
Zip	:	76180-2314
Country	:	US
Telephone Number	:	214-432-0910
Fax Number	:	214-559-0898

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

Provider Enumeration Date	:	04/03/2007
Last Update Date	:	07/08/2007

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