Provider Demographics
NPI:1093926719
Name:EBEIER OSBORN, MARY KAY EBEIER (DC DOCTOR OF CHIROPR)
Entity Type:Individual
Prefix:DR
First Name:MARY KAY
Middle Name:EBEIER
Last Name:EBEIER OSBORN
Suffix:
Gender:F
Credentials:DC DOCTOR OF CHIROPR
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:4407 BEE CAVE RD
Mailing Address - Street 2:#4-412
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-6405
Mailing Address - Country:US
Mailing Address - Phone:512-327-6101
Mailing Address - Fax:512-367-2929
Practice Address - Street 1:4407 BEE CAVE RD
Practice Address - Street 2:#4-412
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-6405
Practice Address - Country:US
Practice Address - Phone:512-327-6101
Practice Address - Fax:512-367-2929
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX6134111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor