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NPI Code Detail

MEDICARE: SALLY KOSHY RN, BSN

MEDICARE: SALLY KOSHY RN, BSN
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
1163WM0705XMedical-Surgical Registered Nurse684185TX

General Provider Information

NPI Number : 1962902981
Entity Type Code : Individual
Provider Name (Legal Business Name) : SALLY KOSHY RN, BSN
Provider Business Mailing Address
First Line : 1317 WIGEON WAY
Second Line :
City : GARLAND
State : TX
Zip : 75043-2689
Country : US
Telephone Number : 214-680-4253
Fax Number :
Provider Business Practice Location Address
First Line : 2300 MARIE CURIE DR
Second Line :
City : GARLAND
State : TX
Zip : 75042-5706
Country : US
Telephone Number : 972-487-5443
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2018
Last Update Date : 02/16/2018

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