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Organization

STATE OF THE HEART CARDIOLOGY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN ANDREW OSBORNE MD (DIRECTOR)
(817) 808-2488
Entity
Organization

Contact information

Practice address
1920 E STATE HIGHWAY 114, SOUTHLAKE, TX 76092
(817) 442-5698
(817) 442-5633
Mailing address
712 WINDING RIDGE TRAIL, SOUTHLAKE, TX 76092
(817) 808-2488
(844) 466-8137

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary

Other

Enumeration date
03/25/2019
Last updated
03/25/2019
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