Organization
COLVERSE IOM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL HENRY CHO MD (PRESIDENT)
(817) 908-8124
Entity
Organization
Contact information
Practice address
1308 SOMERSET CT, COLLEYVILLE, TX 76034
(817) 908-8124
(817) 885-7339
Mailing address
1308 SOMERSET CT, COLLEYVILLE, TX 76034
(817) 908-8124
(817) 885-7339
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
L1292
TX
Other
Enumeration date
08/26/2014
Last updated
08/26/2014
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