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1134516172
KURTIS KOSTAN
TYLER, TX
NPI
1134516172
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: TX S4168)
Enumeration Date
2015-04-16
Last Update Date
2021-10-14
Business Address
KURTIS KOSTAN MD
2210 THREE LAKES PKWY STE 100
TYLER, TX 75703-0642
Phone number: 903-747-4050
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Mailing Address
KURTIS KOSTAN MD
2210 THREE LAKES PKWY STE 100
TYLER, TX 75703-0642
Phone number: 903-747-4050
Copy
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