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NPI Code Detail

MEDICARE: DR. TIMOTHY OSBORN M.D.

MEDICARE: DR. TIMOTHY OSBORN M.D.
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
1207L00000XAnesthesiology PhysicianL0475TX

General Provider Information

NPI Number : 1144218330
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TIMOTHY OSBORN M.D.
Provider Business Mailing Address
First Line : PO BOX 844658 SUITE 200
Second Line :
City : DALLAS
State : TX
Zip : 75284-8423
Country : US
Telephone Number : 800-994-0371
Fax Number : 254-215-9722
Provider Business Practice Location Address
First Line : 700 MEDICAL PKWY
Second Line :
City : BRENHAM
State : TX
Zip : 77833-5413
Country : US
Telephone Number : 979-337-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2005
Last Update Date : 10/07/2024

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