| NPI | 1558998336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETE KOSKO Owner 210-416-1314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 103TE1100X Psychologist, Exercise & Sports |
| 1041C0700X Social Worker, Clinical | |
| 133V00000X Dietitian, Registered | |
| 207R00000X Internal Medicine | |
| 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine | |
| 2084N0600X | |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine | |
| 208M00000X Hospitalist | |
| 213E00000X Podiatrist | |
| 261QU0200X Clinic/Center, Urgent Care | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LG0600X Nurse Practitioner, Gerontology | |
| 364SF0001X Clinical Nurse Specialist, Family Health | |
| 364SG0600X Clinical Nurse Specialist, Gerontology | |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2020-04-15 |