Individual
DR. SUSAN KOSHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
3417 GASTON AVE STE 935, DALLAS, TX 75246-2036
(972) 870-0788
Mailing address
742 HAMMOND ST, COPPELL, TX 75019-4739
(469) 451-5043
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
736187
TX
Other
Enumeration date
10/29/2012
Last updated
06/17/2019
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