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Individual

DR. GERALD B. KOLSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
103A MEDICAL PARK LANE, HUNTSVILLE, TX 77340-5650
(800) 350-1001
(281) 364-9095
Mailing address
103A MEDICAL PARK LANE, HUNTSVILLE, TX 77340-5650
(800) 350-1001
(281) 364-9095

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
N5786
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
TXB112349
MEDICARE PTAN
TX
Enumeration date
01/29/2007
Last updated
08/26/2015
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