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Individual

DR. CHARLES D OSBORN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3201 W HIGHWAY 22, CORSICANA, TX 75110-2450
(903) 654-6820
(903) 654-6967
Mailing address
14275 MIDWAY RD, SUITE 400, ADDISON, TX 75001-3614
(610) 271-4245

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
H2957
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
125190201
TX
01
220024289
MC RR
TX
01
83P807
BCBS
TX
Enumeration date
01/17/2006
Last updated
06/02/2020
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