Provider Demographics
NPI:1467346775
Name:OSBORN, BRANDON (MPT)
Entity type:Individual
Prefix:
First Name:BRANDON
Middle Name:
Last Name:OSBORN
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11807 CAPITAN LN
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75033-0245
Mailing Address - Country:US
Mailing Address - Phone:214-226-5400
Mailing Address - Fax:
Practice Address - Street 1:11807 CAPITAN LN
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75033-0245
Practice Address - Country:US
Practice Address - Phone:214-226-5400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-03
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1129955261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy