Individual
MICHAEL SHANE KOHANSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4131 N CENTRAL EXPY, SUITE 435, DALLAS, TX 75204-2102
(214) 252-3501
Mailing address
4131 N CENTRAL EXPY, SUITE 435, DALLAS, TX 75204-2102
(214) 252-3501
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
M2992
TX
Other
Enumeration date
06/02/2006
Last updated
07/13/2007
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