Individual
DR. ALONSO JAVIER OSORIO-GIRALDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 E DAWSON ST, TYLER, TX 75701-2036
(903) 593-8441
Mailing address
250 TREELINE PARK, 507, SAN ANTONIO, TX 78209-7407
(813) 465-9157
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
M6325
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1K8330
MEDICARE
TX
01
—
1K8333
MEDICARE
TX
05
—
284741010
—
TX
05
—
284741011
—
TX
01
—
P02593044
MCRR
TX
01
—
Q00010973
MCRR
TX
Enumeration date
12/14/2005
Last updated
03/07/2023
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