Provider Demographics
NPI:1528568482
Name:OSIER, GREGORY FRANK (PA-C)
Entity Type:Individual
Prefix:MR
First Name:GREGORY
Middle Name:FRANK
Last Name:OSIER
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7777 FOREST LN STE C106
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-6831
Mailing Address - Country:US
Mailing Address - Phone:972-566-5564
Mailing Address - Fax:972-566-3556
Practice Address - Street 1:5858 MAIN ST STE 210
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75033-4104
Practice Address - Country:US
Practice Address - Phone:469-495-9010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-17
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
363A00000X
TXPA13064363A00000X, 363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXMO5633296OtherTX CONTROLLED SUBSTANCE LICENSE
TXPA13064OtherPHYSICIAN ASSISTANT LICENSE -TX