Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | E8407 | TX |
Y | 208600000X | Surgeon | E8407 | TX |
N | 208G00000X | Cardiothoracic Vascular Surgeon | E8407 | TX |
NPI | 1144300583 |
---|---|
Provider Name | Joseph S. Coselli |
First Address | Houston, TX 77210-4758 |
Second Address | Houston, TX 77030-2604 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2006 |
Last Update Date | 08/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
135568701 | (05) | TX |
135568702 | (05) | TX |
C14789 | (02) |