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Individual
REGINA COSS
Active
Individual
REGINA COSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
10448
TX
111N00000X
Chiropractor
7210
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00X420
MEDICARE P-TAN
TX
01
—
648297
ACN PROVIDER NUMBER
TX
01
—
8AJ833
BCBS PROVIDER NUMBER
TX
Enumeration date
07/15/2006
Last updated
05/15/2008
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