Provider Demographics
NPI:1225597396
Name:OSNT DENTON PLLC
Entity Type:Organization
Organization Name:OSNT DENTON PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:E
Authorized Official - Last Name:FROSCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-774-5004
Mailing Address - Street 1:220 N RIDGEWAY DR
Mailing Address - Street 2:
Mailing Address - City:CLEBURNE
Mailing Address - State:TX
Mailing Address - Zip Code:76033-4115
Mailing Address - Country:US
Mailing Address - Phone:817-556-4800
Mailing Address - Fax:817-774-5015
Practice Address - Street 1:2535 W OAK ST
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-2331
Practice Address - Country:US
Practice Address - Phone:940-382-1577
Practice Address - Fax:940-387-5471
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CLEBURNE FAMILY MEDICINE ASSOCIATES, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-03-18
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX752233121OtherTAX IDENTIFICATION