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NPI Code Detail

MEDICARE: CHRIS THOMAS KOSTER RN

MEDICARE: CHRIS THOMAS KOSTER RN
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
1163W00000XRegistered Nurse668732TX

General Provider Information

NPI Number : 1518672088
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRIS THOMAS KOSTER RN
Provider Business Mailing Address
First Line : 16528 KINGSTON CT
Second Line :
City : TYLER
State : TX
Zip : 75703-7338
Country : US
Telephone Number : 903-253-8387
Fax Number :
Provider Business Practice Location Address
First Line : 16528 KINGSTON CT
Second Line :
City : TYLER
State : TX
Zip : 75703-7338
Country : US
Telephone Number : 903-253-8387
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2023
Last Update Date : 01/19/2023

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