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NPI Code Detail

MEDICARE: EZEKIEL COSS

MEDICARE: EZEKIEL COSS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1336081769
Entity Type Code : Individual
Provider Name (Legal Business Name) : EZEKIEL COSS
Provider Business Mailing Address
First Line : 556 CHINKAPIN TRL
Second Line :
City : NEW BRAUNFELS
State : TX
Zip : 78132-2980
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 919 E 32ND ST
Second Line :
City : AUSTIN
State : TX
Zip : 78705-2703
Country : US
Telephone Number : 512-544-7111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2026
Last Update Date : 04/06/2026

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Directions to “ EZEKIEL COSS ” Practice Location

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