Individual
ELIZABETH KOSANKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3551 ROGER BROOKE DR BLDG 3600, JBSA FT SAM HOUSTON, TX 78234-4504
(210) 916-1925
(210) 916-6658
Mailing address
3551 ROGER BROOKE DR BLDG 3600, JBSA FT SAM HOUSTON, TX 78234-4504
(210) 916-1925
(210) 916-6658
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0102209131
VA
Other
Enumeration date
03/29/2023
Last updated
11/05/2025
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