George Kostohryz Ii (NPI# 1821062357, PAC ID# 2163611906) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1821062357 |
| PAC ID by PECOS | 2163611906 |
| Professional Enrollment ID | I20110111000139 |
| Full Name | George Kostohryz Ii |
| Organization Legal Name | GEORGE KOSTOHRYZ, JR., M.D., P.A. |
| Address |
4625 Boat Club Rd Suite 257 Fort Worth TX 76135-7023 |
| Phone Number | 8173466464 |
| Gender | M |
| Medical School | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON |
| Graduation Year | 1977 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 2163654526 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450135 | TEXAS HEALTH HARRIS METHODIST HOSPITAL FORT WORTH |
| 450137 | BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER FORT WORTH |
| Address | Phone | Organization |
|---|---|---|
| 4625 Boat Club Rd, Suite 257, Fort Worth, TX 76135-7023 | 8173466464 | GEORGE KOSTOHRYZ, JR., M.D., P.A. |
| Organization Legal Name | GEORGE KOSTOHRYZ, JR., M.D., P.A. |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James A Rodriguez | Physician Assistant | George Kostohryz, Jr., M.d., P.a. | 4625 Boat Club Rd, Suite 257, Fort Worth, TX 76135-7023 |
| Street Address |
4625 BOAT CLUB RD SUITE 257 |
| City | FORT WORTH |
| State | TX |
| Zip | 76135-7023 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James A Rodriguez | Physician Assistant | George Kostohryz, Jr., M.d., P.a. | 4625 Boat Club Rd, Suite 257, Fort Worth, TX 76135-7023 |
| Theresa P Brown | Internal Medicine | Texas Health Physicians Group | 4625 Boat Club Rd, Suite 257, Fort Worth, TX 76135-7023 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tamara K Hanby | Family Medicine | 6302 A Jackson Hwy, Fort Worth, TX 76135 | |
| Max S Hughes | Family Medicine | 6302a Jacksboro Hwy, Fort Worth, TX 76135 | |
| Gary W Sanders | Chiropractic | 4712 Boat Club Rd, Fort Worth, TX 76135-2002 | |
| Andrea N Lowe | Clinical Social Worker | The Oaks Life Center Pllc | 6012 Reef Point Ln, Suite C, Fort Worth, TX 76135-2056 |
| Heather Braun | Clinical Social Worker | The Oaks Life Center Pllc | 6012 Reef Point Ln, Suite C, Fort Worth, TX 76135-2056 |
| Debra P Mattocks | Clinical Social Worker | The Oaks Life Center Pllc | 6012 Reef Point Ln, Suite C, Fort Worth, TX 76135-2056 |
| Kasey Shaw | Clinical Social Worker | The Oaks Life Center Pllc | 6012 Reef Point Ln, Suite C, Fort Worth, TX 76135-2056 |
| Yolanda M Fraser | Clinical Social Worker | The Oaks Life Center Pllc | 6012 Reef Point Ln, Suite C, Fort Worth, TX 76135-2056 |
| Mary Caroline Stancukas | Podiatry | Advanced Foot and Ankle Associates | 6312 Azle Ave, Lake Worth, TX 76135-2442 |
| Russell Olin Pendleton | Podiatry | Advanced Foot and Ankle Associates | 6312 Azle Ave, Lake Worth, TX 76135-2442 |
| Find all physicians in zip 76135 | |||
| City | FORT WORTH |
| Zip Code | 76135 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | FORT WORTH + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on George Kostohryz Ii.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.