Individual
MS. EARTHA JACKSON OSBORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L. V. N.
Contact information
Practice address
8225 RANCH RD 620 N APT 2112, AUSTIN, TX 78726-4170
(512) 373-8229
Mailing address
8225 RANCH RD., FM 620 N. APT. # 2112, AUSTIN, TX 78726-4170
(512) 373-8229
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
127237
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001002501
MDCP
TX
Enumeration date
02/27/2008
Last updated
04/16/2008
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