Kosarek, John David

Kosarek, John David is an individual health care provider with primary practice located at 201 Old Hewitt Rd , Waco TX 76712. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kosarek, John David can be contacted via phone (254) 202-7700.

Contact Information

Primary practice address
201 Old Hewitt Rd Waco TX 76712
Phone: (254) 202-7700
Fax: (254) 202-7710
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G5265 Texas

Profile Details

NPI number 1538132840
LBN Legal business name Kosarek, John David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated May 22nd, 2008 - about 18 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 1538132840 NPPES
Texas MEDICAID 115231603
Texas Other 80Y505

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