=====================================================
General NPI Number Information
=====================================================
NPI Number | 1740135623
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ADAM OSGA, PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/04/2026
-----------------------------------------------------
Last Update Date | 03/04/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 819 S MARKET ST
-----------------------------------------------------
City | BRAZORIA
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77422-5679
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 979-798-4493
-----------------------------------------------------
Fax | 979-798-4883
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 819 S MARKET ST
-----------------------------------------------------
City | BRAZORIA
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77422-5679
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 979-798-4493
-----------------------------------------------------
Fax | 979-798-4883
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | ADAM PAUL OSGA
-----------------------------------------------------
Credential | DDS
-----------------------------------------------------
Telephone | 713-865-2833
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QD0000X
-----------------------------------------------------
Taxonomy Name | Dental Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------