Provider Demographics
NPI:1629678156
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:MRS
Authorized Official - First Name:DANA
Authorized Official - Middle Name:O
Authorized Official - Last Name:GASSAWAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-668-0414
Mailing Address - Street 1:2535 W. OAK STREET
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76201-2331
Mailing Address - Country:US
Mailing Address - Phone:940-382-1577
Mailing Address - Fax:940-387-5471
Practice Address - Street 1:2535 W. OAK STREET
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:OSNT DENTON PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-10-26
Last Update Date:2023-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty
No207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand SurgeryGroup - Single Specialty
No207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the SpineGroup - Single Specialty