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Individual

JOHN RANDOLPH OSBORNE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
600 N UNION AVE, NEW BRAUNFELS, TX 78130-4194
(830) 643-6162
Mailing address
13539 CRESCENT CREEK DR, SAN ANTONIO, TX 78231-2249
(210) 865-6450

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
L1959
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
161837302
TX
Enumeration date
08/23/2006
Last updated
02/06/2018
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