Individual
DR. MICHAEL POOL COSELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6560 FANNIN ST, STE 1608, HOUSTON, TX 77030-2736
(713) 796-1608
(713) 796-1620
Mailing address
6560 FANNIN ST, STE 1608, HOUSTON, TX 77030-2736
(713) 796-1608
(713) 796-1620
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G4933
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
P000B22Q8
—
TX
Enumeration date
08/07/2006
Last updated
07/06/2010
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