Isaac J.T. Osborne, M.D.
Individual provider Active NPI Internal Medicine Physician · Harlingen, TX
NPI 1700809555 · NPPES record last updated Jan 13, 2017
Key facts
- NPI
- 1700809555
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- L4196 (TX)
- Practice address
- 512 Victoria LN Ste 12
Harlingen, TX 78550-3228 - Phone
- (903) 577-9991
- NPI assigned
- Jul 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L4196 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Freestone Physician Services PA | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | L4196 | TX | |
| Internal Medicine Physician | 207R00000X | 33820 | KY | |
| Internal Medicine Physician | 207R00000X | L4196 | TX | Yes |
Addresses
Primary practice location
512 Victoria LN Ste 12
Harlingen, TX 78550-3228
Mailing address
512 Victoria LN Ste 12
Harlingen, TX 78550-3228
Phone (903) 577-9991
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 150990301 | Medicaid | TX | |
| 0010HZ | Other | TX | BCBS |
Other providers in Harlingen, TX
- Sarah Ann Ortiz
- Shauna Nicole Ortiz
- Valerie Katherine Ortiz
- Alvaro Rene Orue Quintana
- Lauren Orzechowski
- Oso Therapy Associates, PLLC
- Selena Osornio
- Elva Nora Osuna Salazar
- OT Therapy Solutions, PLLC
- Arlyn Otero-Lugo
All providers in Harlingen, TX · Internal Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.