Individual
MARVIN S KOGUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
314 GRAND VIEW TER, HOUSTON, TX 77007-8346
(713) 426-4375
Mailing address
314 GRAND VIEW TER, HOUSTON, TX 77007-8346
(713) 426-4375
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
D4185
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
042389901
—
TX
05
—
042389903
—
TX
Enumeration date
10/27/2005
Last updated
02/16/2016
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