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Organization

HEB NEUROSURGERY PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID E KOSMOSKI MD (PRESIDENT)
(817) 510-5000
Entity
Organization

Contact information

Practice address
1604 HOSPITAL PKWY STE 501, BEDFORD, TX 76022-6932
(817) 510-5000
(817) 510-5001
Mailing address
1604 HOSPITAL PKWY STE 501, BEDFORD, TX 76022-6932
(817) 510-5000
(817) 510-5001

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
H4471
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0001LM
BLUECROSS BLUESHILED
TX
Enumeration date
10/10/2007
Last updated
04/08/2008
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