Conard Jay Osbourn, RN
Registered Nurse in Liberty Hill, TX. Individual provider (NPI-1).
NPI number1982104774
StatusActive
Last updated in NPPESFeb 19, 2018
Details
- NPI
- 1982104774
- Entity type
- Individual (NPI-1)
- Name
- Mr. Conard Jay Osbourn
- Credential
- RN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 19, 2018
- Last updated
- Feb 19, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 795864 | TX | Yes |
Practice location
118 Milestone RdLiberty Hill, TX 78642-4409
Phone 512-997-8817 · Fax 512-997-8817
Mailing address
118 Milestone RdLiberty Hill, TX 78642-4409
Phone 512-997-8817
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