Koomos, George
Koomos, George is an individual health care provider with primary practice located at 4444 Corona Dr Suite 215, Corpus Christi TX 78411-4324. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Koomos, George can be contacted via phone (361) 985-1221.Contact Information
Primary practice address
4444 Corona Dr Suite 215
Corpus Christi TX 78411-4324
Phone: (361) 985-1221
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | E2260 | Texas |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | E2260 | Texas |
Profile Details
| NPI number | 1114998291 |
|---|---|
| LBN Legal business name | Koomos, George |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 27th, 2006 |
| Last updated | Mar 19th, 2009 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114998291 | NPPES |
| Texas | MEDICAID | 124886602 |
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