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Herold Osborne is one of 211 physician assistants practicing in Tyler, Texas .
Herold Osborne practices with Oliver Street 5.01(A) Inc.
Registry record (NPPES)
NPI
1710999727
Type
Type 1 · Individual
Primary taxonomy
Physician Assistant, Medical · 363AM0700X
Address on file
3535 N Fourth St Ste 400 Longview, TX 75605-0038 (903) 757-3881
Enumerated
Aug 12, 2006
Record last updated
Mar 3, 2021
License states listed
TX
Medicare (CMS)
Enrollment
Medicare-enrolled in TXPhysician Assistant
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
1367 Dominion Plz
Tyler , TX 75703
(903) 534-6200
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Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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