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Individual

RONALD D. KOSANKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
204 S. 4TH STREET, GANADO, TX 77962-0000
(361) 771-3311
(361) 771-3081
Mailing address
204 S. 4TH STREET, GANADO, TX 77962-0000
(361) 771-3311
(361) 771-3081

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA00585
TX

Other

Enumeration date
08/15/2007
Last updated
08/15/2007
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