Individual
MR. ESTEBAN COSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CST GFA
Contact information
Practice address
3301 MATLOCK, ARLINGTON, TX 76015
(817) 472-4856
Mailing address
5812 STORM DRIVE, WATAUGA, TX 76148
(817) 428-7353
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
96612
TX
Other
Enumeration date
05/09/2008
Last updated
05/09/2008
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