Chodosh, Thomas Brent

Chodosh, Thomas Brent is an sole proprietor health care provider with primary practice located at 3933 Up River Rd , Corpus Christi TX 78408-3020. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Chodosh, Thomas Brent can be contacted via phone (361) 882-1001.

Contact Information

Primary practice address
3933 Up River Rd Corpus Christi TX 78408-3020
Fax: (361) 882-1040
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X D6394 Texas

Profile Details

NPI number 1801897483
LBN Legal business name Chodosh, Thomas Brent
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 2005
Last updated Jul 11th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801897483 NPPES
Texas MEDICAID 164153201

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