MEDICARE: WALTER GEORGE OSBORNE 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
1	207P00000X	Emergency Medicine Physician	E4581	TX

General Provider Information

NPI Number	:	1871505982
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WALTER GEORGE OSBORNE M.D.

Provider Business Mailing Address
First Line	:	2104 RIVER RIDGE RD
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76017-2758
Country	:	US
Telephone Number	:	817-465-5553
Fax Number	:

Provider Business Practice Location Address
First Line	:	4500 S LANCASTER RD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75216-7167
Country	:	US
Telephone Number	:	214-857-1975
Fax Number	:

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

Provider Enumeration Date	:	08/13/2006
Last Update Date	:	05/17/2026

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