| Gregory A. Osborne Dds Pa | |
|
3301 Oakwell Ct Ste 102b San Antonio TX 78218-3075 | |
| (210) 202-0692 | |
| (210) 338-8747 |
| Full Name | Gregory A. Osborne Dds Pa |
|---|---|
| Speciality | Durable Medical Equipment & Medical Supplies |
| Location | 3301 Oakwell Ct Ste 102b, San Antonio, Texas |
| Authorized Official Name and Position | Gregory Allen Osborne (PRESIDENT) |
| Authorized Official Contact | 2102020692 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory A. Osborne Dds Pa 3301 Oakwell Ct Ste 102b San Antonio TX 78218-3075 Ph: (210) 202-0692 | Gregory A. Osborne Dds Pa 3301 Oakwell Ct Ste 102b San Antonio TX 78218-3075 Ph: (210) 202-0692 |
| NPI Number | 1164574786 |
|---|---|
| Provider Enumeration Date | 01/16/2007 |
| Last Update Date | 02/09/2022 |
| Medicare PECOS PAC ID | 1355763459 |
|---|---|
| Medicare Enrollment ID | O20200618001198 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164574786 | NPI | - | NPPES |
| 1710039334 | Other | TX | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Primary |
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