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Organization

OSINB, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID BRIAN TEMPLIN M.D. (PRESIDENT)
(830) 625-0009
Entity
Organization

Contact information

Practice address
960 GRUENE RD STE 101, NEW BRAUNFELS, TX 78130-3876
(830) 625-0009
(830) 624-7505
Mailing address
960 GRUENE RD STE 101, NEW BRAUNFELS, TX 78130-3876
(830) 625-0009
(830) 624-7505

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
M4964
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0043QF
BLUE CROSS BLUE SHIELD
01
8AJ457
BLUE CROSS BLUE SHIELD
01
M4964
MEDICAL LICENSE
TX
Enumeration date
05/23/2007
Last updated
06/24/2020
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