Individual
KACI L OSENGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 COOPER ST, FORT WORTH, TX 76104-2710
(682) 885-1116
(682) 885-4518
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-1855
(682) 885-1396
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
Q9703
TX
2080H0002X
Pediatric Hospice and Palliative Medicine Physician
Q9703
TX
2080P0207X
Pediatric Hematology & Oncology Physician
43855
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568438257
—
TX
Enumeration date
02/23/2006
Last updated
11/15/2022
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