Eric Lynn Osborne Jr., DENTAL LAB TECH
Individual provider Active NPI Dental Laboratory Technician · Garden Ridge, TX
NPI 1629190897 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1629190897
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Laboratory Technician 126900000X
- License
- T62-66-0416 (VA)
- Practice address
- 18945 FM 2252
115
Garden Ridge, TX 78266-2562 - Phone
- (757) 953-8635
- Fax
- (757) 953-8597
- NPI assigned
- Apr 6, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Laboratory Technician | 126900000X | T62-66-0416 | VA | Yes |
Addresses
Primary practice location
18945 FM 2252
115
Garden Ridge, TX 78266-2562
Mailing address
3129 Lyons Ave
Norfolk, VA 23509-2557
Phone (757) 395-0306
Other providers in Garden Ridge, TX
- Ana Lylia Munoz
- La'Wanda Myers
- Nest Counseling Services PLLC
- Shelly Marie Nichols
- Nuzephyr Health PC
- Thomas Ottman
- Out of the Box Counseling, LLC
- Evelyn Tanig Padilla
- Kristen Palacios
- Jacy Ann Palmitier
All providers in Garden Ridge, TX · Dental Laboratory Technician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.