Individual
MR. PHILLIP DWIGHT COSBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
12501 JUDSON RD, SUITE 102, LIVE OAK, TX 78233-4103
(210) 656-5100
Mailing address
2415 TREE BR, SCHERTZ, TX 78154-2646
(210) 566-1333
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
10/26/2005
Last updated
07/08/2007
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