Kostohryz, George
Kostohryz, George is an individual health care provider with primary practice located at 4625 Boat Club Rd Suite 257, Fort Worth TX 76135-7022. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Kostohryz, George can be contacted via phone (817) 346-6464.Contact Information
Primary practice address
4625 Boat Club Rd Suite 257
Fort Worth TX 76135-7022
Phone: (817) 346-6464
Fax: (817) 238-0054
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | E8642 | Texas |
Profile Details
| NPI number | 1821062357 |
|---|---|
| LBN Legal business name | Kostohryz, George |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 2006 |
| Last updated | Dec 1st, 2010 - about 14 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 | 1821062357 | NPPES |
| Texas | MEDICAID | 120230103 |
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