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Individual

DR. DANIEL KOCUREK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
800 W RANDOL MILL RD, ARLINGTON, TX 76012-2504
(817) 548-6202
Mailing address
P O BOX 960160, OKLAHOMA CITY, OK 73196-0001
(877) 485-4474

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
K1855
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010061511
RAILROAD THRU AEMA
TX
05
149306601
TX
05
149306602
TX
01
88633Z
BCBS THRU AEMA
TX
01
8BT324
BCBS THRU SAEMA
TX
Enumeration date
03/17/2006
Last updated
05/13/2009
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