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Individual

DR. BREMANSU OSA-ANDREWS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5253 HARRY HINES BLVD, DALLAS, TX 75235-7708
(605) 651-3989
Mailing address
10324 WHITINGHAM DR, DALLAS, TX 75227-7670
(605) 651-3989

Taxonomy

Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
P79577
TX
Enumeration date
02/08/2021
Last updated
02/08/2021
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