Doctor Name: | GEORGE KOOMOS |
NPI Number: | 1114998291 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | E2260 |
Business Practice Address: | 4444 Corona Dr Suite 215 Corpus Christi, TX - 784114324 |
Business Phone Number: | 3619851221 |
Business Fax Number: | |
Mailing Address: | 4444 Corona Dr, Suite 215 CORPUS CHRISTI |
State: | TX |
Postal Code: | 784114324 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/27/2006 |
NPI Last Update Date: | 03/19/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | E2260 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |