GREGORY A. OSBORNE DDS PA NPI 1164574786

NPI Information

NPI: 1164574786
Provider Name: GREGORY A. OSBORNE DDS PA
Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Organization

Specialization: Customized Equipment

Address:
3301 OAKWELL CT STE 102B
SAN ANTONIO, TX
ZIP 78218
Phone: (210) 202-0692
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GREGORY A. OSBORNE DDS PA is a customized equipment durable medical equipment medical supplies in San Antonio, TX. GREGORY A. OSBORNE DDS PA NPI is 1164574786. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3301 OAKWELL CT STE 102B
SAN ANTONIO, TX
ZIP 78218-075
Phone: (210) 202-0692
Fax: (210) 338-8747

The provider's authorized official is Gregory Allen Osborne .
The authorized official title is President and has the following contact phone number (210) 202-0692.

The enumeration date for this NPI number is 1/16/2007 and was last updated on 2/9/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	122300000X	Dentist				No
2	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1710039334	OTHER	TEXAS	NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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