Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | L3720 | TX |
NPI | 1184615452 |
---|---|
Provider Name | Dr. Edward Robert Kost |
First Address | San Antonio, TX 78229-3901 |
Second Address | San Antonio, TX 78207-0903 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/11/2005 |
Last Update Date | 22/08/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
179658302 | (05) | TX |
179658303 | CSHCN (01) | TX |
8L11273 | (02) | TX |