Organization
INTERNAL MEDICINE CARDIOVASCULAR SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISAAC J.T. OSBORNE M.D (M.D)
(903) 588-2033
Entity
Organization
Contact information
Practice address
1933 FM 115, SUITE B, MOUNT VERNON, TX 75457
(903) 588-2033
(903) 588-2036
Mailing address
1933 FM 115, SUITE B, MOUNT VERNON, TX 75457
(903) 588-2033
(903) 588-2036
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
L4196
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8G1990
BCBS
TX
Enumeration date
05/03/2007
Last updated
08/22/2020
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