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Individual

DR. COURTLAND N'GWAN-KOFI KOUASSIAMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
18511 HIGHLANDER MEDICS ST, FORT BLISS, TX 79906-5327
(915) 742-9615
Mailing address
WILLIAM BEAUMONT ARMY MEDICAL CENTER ATTN: GME, 5005 N. PIEDRAS ST., EL PASO, TX 79920-5001
(915) 742-2597
(915) 742-6668

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
31945
NE
207RS0012X
Sleep Medicine (Internal Medicine) Physician
31945
NE
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
85711-20
WI

Other

Enumeration date
06/20/2017
Last updated
07/07/2025
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