Provider Demographics
NPI:1427353846
Name:OSHER CHAIM PLLC
Entity type:Organization
Organization Name:OSHER CHAIM PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:REPHAEL
Authorized Official - Last Name:KAVOSH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-473-2532
Mailing Address - Street 1:5904 CHAPEL HILL BLVD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-5925
Mailing Address - Country:US
Mailing Address - Phone:972-473-2532
Mailing Address - Fax:
Practice Address - Street 1:5904 CHAPEL HILL BLVD
Practice Address - Street 2:SUITE 103
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-5925
Practice Address - Country:US
Practice Address - Phone:972-473-2532
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-15
Last Update Date:2013-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN6414207KI0005X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207KI0005XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyClinical & Laboratory ImmunologyGroup - Single Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0092WKOtherBCBS
TX0092WKOtherBCBS