HEB NEUROSURGERY PA
Medical Practice at Hospital Pkwy, Bedford, TX

License number
Texas H4471
Category
Medical Practice
Type
Specialist
Owner
Name: DR. DAVID E KOSMOSKI MD
Title: PRESIDENT
Phone: (817) 510-5000
Address
Address
1604 Hospital Pkwy STE 501, Bedford, TX 76022
National Provider ID: 1578751095
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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HEB NEUROSURGERY, PA

Arlington, TX  -  Bedford, TX

Status:
Inactive
Doing business as:
Grapevine Neurosurgery<br>Heb Neurosurgery, PA
Registration:
Feb 5, 2004
Addresses:
1000 Ballpark Way STE 300, Arlington, TX 76011 (Mailing)
1604 Hospital Pkwy, Bedford, TX 76022
State ID:
0800301576
Business type:
Professional Association
President , Treasurer , Director , Member , Secretary , Vice-President:
David E. Kosmoski President , Treasurer , Director , Member , Secretary , Vice-President, inactive
Agent:
Paul J. Johnson,1000 Ballpark Way STE 300, Arlington, TX 76011 (Physical)
TIN:
32035650533

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