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Individual

KURT L COUSINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3303 NORTHLAND DR STE 210, AUSTIN, TX 78731-4955
(512) 701-1490
(843) 631-2079
Mailing address
3303 NORTHLAND DR STE 210, AUSTIN, TX 78731-4955
(512) 701-1490
(843) 631-2079

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
MT193057
PA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
P7261
TX

Other

Enumeration date
01/06/2009
Last updated
01/20/2023
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