Provider Demographics
NPI:1134136914
Name:OSBORN, CHARLES RAY (MD DC)
Entity type:Individual
Prefix:
First Name:CHARLES
Middle Name:RAY
Last Name:OSBORN
Suffix:
Gender:M
Credentials:MD DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 2597
Mailing Address - Street 2:
Mailing Address - City:WAXAHACHIE
Mailing Address - State:TX
Mailing Address - Zip Code:75168-8597
Mailing Address - Country:US
Mailing Address - Phone:972-938-7757
Mailing Address - Fax:972-938-0018
Practice Address - Street 1:201 FERRIS AVE.
Practice Address - Street 2:SUITE D
Practice Address - City:WAXAHACHIE
Practice Address - State:TX
Practice Address - Zip Code:75165-4824
Practice Address - Country:US
Practice Address - Phone:972-938-7757
Practice Address - Fax:972-938-0018
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-02
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDC4497111NX0100X, 225400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0100XChiropractic ProvidersChiropractorOccupational Health
No225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
T15127Medicare UPIN
TX601757Medicare ID - Type Unspecified