MEDICARE: BROOKE OSBORNE DC

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	111NP0017X	Pediatric Chiropractor	15575	TX
2	111N00000X	Chiropractor	15575	TX

General Provider Information

NPI Number	:	1992643308
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BROOKE OSBORNE DC

Provider Business Mailing Address
First Line	:	1750 FM 967 STE C
Second Line	:
City	:	BUDA
State	:	TX
Zip	:	78610-3465
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1750 FM 967 STE C
Second Line	:
City	:	BUDA
State	:	TX
Zip	:	78610-3465
Country	:	US
Telephone Number	:	512-295-0339
Fax Number	:

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

Provider Enumeration Date	:	03/24/2026
Last Update Date	:	03/24/2026

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Directions to “ BROOKE OSBORNE DC” Practice Location

Language	Start Address	Practice Location

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