Kosarek, John David
Kosarek, John David is an individual health care provider with primary practice located at 201 Old Hewitt Rd , Waco TX 76712. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kosarek, John David can be contacted via phone (254) 202-7700.Contact Information
Primary practice address
201 Old Hewitt Rd
Waco TX 76712
Phone: (254) 202-7700
Fax: (254) 202-7710
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | G5265 | Texas |
Profile Details
NPI number | 1538132840 |
---|---|
LBN Legal business name | Kosarek, John David |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 8th, 2006 |
Last updated | May 22nd, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1538132840 | NPPES |
Texas | MEDICAID | 115231603 | |
Texas | Other | 80Y505 |
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