# MR. OSVALDO ALEXANDRO BRUSCO JR.

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1154329332
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | K1785 | TX | Yes |

## Other

- **Enumeration date:** 07/12/2005
- **Last updated:** 11/19/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 113278901 | — | TX |
| 01 | — | K1785 | TEXAS MEDICAL BOARD | TX |