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Individual

DR. THEMISTOKLIS KOURKOUMPETIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, MPH

Contact information

Practice address
1250 8TH AVE STE 515, FORT WORTH, TX 76104-4130
(817) 922-9968
Mailing address
2345 N LINCOLN AVE APT 904, CHICAGO, IL 60614-4899

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Q3539
TX
207RT0003X
Transplant Hepatology Physician
Primary
Q3539
TX

Other

Enumeration date
04/12/2012
Last updated
11/22/2024
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