MEDICARE: OSAGE DIAGNOSTICS

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	261QR0800X	Recovery Care Clinic/Center
2	208VP0000X	Pain Medicine Physician

General Provider Information

NPI Number	:	1043413966
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OSAGE DIAGNOSTICS

Provider Business Mailing Address
First Line	:	9262 FOREST LN
Second Line	:	STE. 101B
City	:	DALLAS
State	:	TX
Zip	:	75243-4207
Country	:	US
Telephone Number	:	214-340-5090
Fax Number	:	214-340-7287

Provider Business Practice Location Address
First Line	:	9262 FOREST LN
Second Line	:	STE. 101B
City	:	DALLAS
State	:	TX
Zip	:	75243-4207
Country	:	US
Telephone Number	:	214-340-5090
Fax Number	:	214-340-7287

Authorized Official
Title or Position	:	DIRECTOR
Name	:	ROBERT CHOUTEAU
Credential	:	D.C.
Telephone Number	:	214-340-5090

Provider Enumeration Date	:	06/07/2007
Last Update Date	:	09/11/2025

Similar Medicare Providers

1508939521 — MS. TRESHA LYN HESTER M.ED., OTR
Practice Location Address:

9262 FOREST LN , SUTE 101
DALLAS, TX
75243-4207

Practice Phone: 214-340-5090
Practice Fax: 214-340-9779

1831245364 — TEXAS HEALTH, LLC
Practice Location Address:

9262 FOREST LN , SUITE 100
DALLAS, TX
75243-4207

Practice Phone: 241-692-5001
Practice Fax: 214-692-5750

1588850986 — MS. JANINE MAREK LPC
Practice Location Address:

9262 FOREST LN , SUITE 101
DALLAS, TX
75243-4207

Practice Phone: 214-340-5090
Practice Fax: 214-340-9779

1275825663 — MS. SUE CLARK LPC
Practice Location Address:

9262 FOREST LN , SUITE 101
DALLAS, TX
75243-4207

Practice Phone: 214-692-5001
Practice Fax:

1427410489 — MRS. SYLVANA M VIGEZZI MA,LPC INTERN
Practice Location Address:

9262 FOREST LN , SUITE 101
DALLAS, TX
75243-4207

Practice Phone: 214-692-5001
Practice Fax: 214-692-5750

1205299690 — ANBER LANTZ CRC, NCC, LPC-INTERN
Practice Location Address:

9262 FOREST LN , SUITE 101
DALLAS, TX
75243-4207

Practice Phone: 214-692-5001
Practice Fax:

Directions to “OSAGE DIAGNOSTICS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.