Most Relevant Information
Provider Data
| NPI Number: | 1003391079 |
| Provider Name: | AMANDA OSBORNE |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/26/2018 |
| Last Updated: | 10/02/2018 |
Provider Practice Location
909 8TH ST STE 100
WICHITA FALLS
TX
763016818
Practice Location Phone/Fax
| Phone: | 9407619986 |
| Fax: |
Provider Mailing Location
PO BOX 125
NOCONA
TX
762550125
Provider Mailing Phone/Fax
| Phone: | 9408675032 |
| Fax: |