Organization
GEORGE KOSTOHRYZ, JR., M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE KOSTOHRYZ JR. M.D. (PHYSICIAN)
(817) 346-6464
Entity
Organization
Contact information
Practice address
4625 BOAT CLUB RD STE 257, FORT WORTH, TX 76135-7023
(817) 346-6464
(817) 238-2358
Mailing address
4625 BOAT CLUB RD STE 257, FORT WORTH, TX 76135-7023
(817) 346-6464
(817) 238-2358
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
E8642
TX
Other
Enumeration date
02/27/2014
Last updated
02/27/2014
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