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NPI Code Detail

MEDICARE: KOH HEALTHCARE

MEDICARE: KOH HEALTHCARE
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
1111N00000XChiropractor8306TX

General Provider Information

NPI Number : 1396937876
Entity Type Code : Organization
Provider Name (Legal Business Name) : KOH HEALTHCARE
Provider Business Mailing Address
First Line : 2035 ROYAL LN
Second Line : 280
City : DALLAS
State : TX
Zip : 75229-3267
Country : US
Telephone Number : 214-352-6677
Fax Number :
Provider Business Practice Location Address
First Line : 2035 ROYAL LN
Second Line : 280
City : DALLAS
State : TX
Zip : 75229-3267
Country : US
Telephone Number : 214-352-6677
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. DAVID KOH
Credential : D.C.
Telephone Number : 214-352-6677
Provider Enumeration Date : 08/17/2007
Last Update Date : 08/17/2007

Similar Medicare Providers

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1326045923 — BRADFORD B PAZANDAK MD
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Directions to “KOH HEALTHCARE ” Practice Location

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