Provider Demographics
NPI:1568672848
Name:OSINB, PA
Entity Type:Organization
Organization Name:OSINB, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:BRIAN
Authorized Official - Last Name:TEMPLIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:830-625-0009
Mailing Address - Street 1:960 GRUENE RD STE 101
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-3876
Mailing Address - Country:US
Mailing Address - Phone:830-625-0009
Mailing Address - Fax:830-624-7505
Practice Address - Street 1:960 GRUENE RD STE 101
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-3876
Practice Address - Country:US
Practice Address - Phone:830-625-0009
Practice Address - Fax:830-624-7505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2020-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM4964174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
0043QFOtherBLUE CROSS BLUE SHIELD
8AJ457OtherBLUE CROSS BLUE SHIELD
TXM4964OtherMEDICAL LICENSE
8F5008Medicare PIN
0043QFOtherBLUE CROSS BLUE SHIELD
00X579Medicare PIN
I72715Medicare UPIN