Organization
CKW GROUP, ADVANCED VENOUS THERAPY
Active
Organization
CKW GROUP, ADVANCED VENOUS THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID E KOSMOSKI MD (PRESIDENT)
(817) 510-5000
Entity
Organization
Contact information
Practice address
1631 LANCASTER DR, SUITE240, GRAPEVINE, TX 76051-3585
(817) 510-5000
(817) 442-9586
Mailing address
1631 LANCASTER DR, SUITE240, GRAPEVINE, TX 76051-3585
(817) 510-5000
(817) 442-9586
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
—
—
Other
Enumeration date
03/21/2011
Last updated
03/21/2011
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