Osborne, John Andrew
Osborne, John Andrew is an individual health care provider with primary practice located at 3801 William D Tate Ave Ste 850 , Grapevine TX 76051-8757. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Nuclear Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Osborne, John Andrew can be contacted via phone (817) 310-3070.Contact Information
Primary practice address
3801 William D Tate Ave Ste 850
Grapevine TX 76051-8757
Phone: (817) 310-3070
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | K4180 | Texas |
| Allopathic & Osteopathic Physicians / Nuclear Cardiology | 207UN0901X | K4180 | Texas |
Profile Details
| NPI number | 1114929718 |
|---|---|
| LBN Legal business name | Osborne, John Andrew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2005 |
| Last updated | Oct 30th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114929718 | NPPES |
| Texas | MEDICAID | 101963003 | |
| Texas | MEDICAID | 101963004 | |
| Texas | MEDICAID | 101963005 |
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