Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | MD35681 | SC |
Y | 207P00000X | Emergency Physician | Q7441 | TX |
NPI | 1003253725 |
---|---|
Provider Name | Lesley Anne Osborn |
First Address | Houston, TX 77030-1501 |
Second Address | Houston, TX 77030-1501 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2013 |
Last Update Date | 25/06/2016 |