Individual
DR. DIRK ANDREW KOESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12554 RIATA VISTA CIR, AUSTIN, TX 78727-6431
(512) 795-5100
(512) 795-5122
Mailing address
12554 RIATA VISTA CIR, AUSTIN, TX 78727-6431
(512) 795-5100
(512) 795-5122
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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