Organization
COSSA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANWAR ARMANDO COSSA LSA (LICENSED SURGICAL ASSISTANT)
(469) 293-7331
Entity
Organization
Contact information
Practice address
1533 CRESTED BUTTE DR, LEWISVILLE, TX 75077-7529
(469) 293-7331
Mailing address
1533 CRESTED BUTTE DR, LEWISVILLE, TX 75077-7529
(469) 293-7331
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
11/09/2015
Last updated
11/09/2015
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