Individual
GEORGE KOOMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4444 CORONA DR, SUITE 215, CORPUS CHRISTI, TX 78411-4324
(361) 985-1221
Mailing address
4444 CORONA DR, SUITE 215, CORPUS CHRISTI, TX 78411-4324
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
E2260
TX
207L00000X
Anesthesiology Physician
Primary
E2260
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124886602
—
TX
Enumeration date
01/27/2006
Last updated
03/19/2009
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