Healthcare Provider Details

I. General information

NPI: 1447366844
Provider Name (Legal Business Name): DANIEL PATRICK OSBORN PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/21/2006
Last Update Date: 09/29/2025
Certification Date: 09/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6464 SAN FELIPE ST 1205
HOUSTON TX
77057-2728
US

IV. Provider business mailing address

6464 SAN FELIPE ST 1205
HOUSTON TX
77057-2728
US

V. Phone/Fax

Practice location:
  • Phone: 832-515-5536
  • Fax:
Mailing address:
  • Phone: 832-515-5536
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TF0200X
TaxonomyForensic Psychologist
License Number39470
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number39470
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: