Organization
BRENT L KUTACH DO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT L KUTACH D.O. (PRESIDENT)
(254) 776-0266
Entity
Organization
Contact information
Practice address
405 LONDONDERRY DR, SUITE 105, WACO, TX 76712-7924
(254) 776-0266
(254) 776-2511
Mailing address
405 LONDONDERRY DR, SUITE 105, WACO, TX 76712-7924
(254) 776-0266
(254) 776-2511
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
K6070
TX
Other
Enumeration date
03/23/2006
Last updated
04/03/2008
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