Individual
CLINTON ROGER OSBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1515 S CAPITAL OF TEXAS HWY STE 105, AUSTIN, TX 78746-6579
(888) 348-7863
Mailing address
PO BOX 938, KILLEEN, TX 76540-0938
(254) 245-9045
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
BP10037183
TX
207Q00000X
Family Medicine Physician
Primary
P7828
TX
Other
Enumeration date
06/11/2010
Last updated
10/30/2019
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