MR. Phillip Dwight Cosby, PHYSICIAN ASSISTANT

NPI #1912997347 in Live Oak, Texas

Provider Information

NPI Number
1912997347
Entity Type
Individual
Name
MR. Phillip Dwight Cosby, PHYSICIAN ASSISTANT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant - Medical
Credential
PHYSICIAN ASSISTANT
Enumeration Date
Oct 26, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
12501 JUDSON RD
Address 2
SUITE 102
State
Texas
ZIP Code
78233-4103
Phone
(210) 656-5100

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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