Individual
JOHN ANDREW OSBORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3801 WILLIAM D TATE AVE STE 850, GRAPEVINE, TX 76051-8757
(817) 310-3070
Mailing address
3801 WILLIAM D TATE AVE STE 850, GRAPEVINE, TX 76051-8757
(817) 310-3070
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
K4180
TX
207UN0901X
Nuclear Cardiology Physician
K4180
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101963003
—
TX
05
—
101963004
—
TX
05
—
101963005
—
TX
Enumeration date
08/12/2005
Last updated
10/30/2012
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