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Individual

DR. DIRK ANDREW KOESTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
24523
SC
2085R0202X
Diagnostic Radiology Physician
Primary
N0177
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
197243201
TX
01
8M2155
BCBS
TX
01
P00628197
MEDICARE RAILROAD
TX
Enumeration date
10/23/2006
Last updated
04/05/2021
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