Individual
BENJAMIN K KOGUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1325 PENNSYLVANIA AVE STE 600, FORT WORTH, TX 76104-2133
(682) 267-8694
Mailing address
1325 PENNSYLVANIA AVE STE 600, FORT WORTH, TX 76104-2133
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
Q3537
TX
Other
Enumeration date
04/05/2013
Last updated
10/30/2020
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