Provider Demographics
NPI:1740332758
Name:OSBORNE, RYAN NEIL (D C)
Entity type:Individual
Prefix:DR
First Name:RYAN
Middle Name:NEIL
Last Name:OSBORNE
Suffix:
Gender:M
Credentials:D C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1970 RAWHIDE DR
Mailing Address - Street 2:SUITE 202
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78681-6958
Mailing Address - Country:US
Mailing Address - Phone:512-255-9711
Mailing Address - Fax:512-255-6545
Practice Address - Street 1:1970 RAWHIDE DR
Practice Address - Street 2:SUITE 202
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681-6958
Practice Address - Country:US
Practice Address - Phone:512-255-9711
Practice Address - Fax:512-255-6545
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-18
Last Update Date:2012-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9669111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor