Individual provider · Type 1 NPI
Brian Koshy
Surgical Physician Assistant · Dallas, TX
NPI number
1831607852
Active
Practice location
4500 S Lancaster Rd
Dallas, TX 75216-7167
Mailing address
1111 Alvington Ct
Rockwall, TX 75032-7484
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | None listed |
Surgical Physician Assistant: Definition to come...
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About NPI 1831607852
Brian Koshy's National Provider Identifier is 1831607852, issued on Jan 11, 2018. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Dallas, TX. The record was last updated on Jan 11, 2018.