George Kostohryz, Jr., M.D., P.a.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

E8642 Issued in TX

Legal business name

GEORGE KOSTOHRYZ, JR., M.D., P.A.

Practice address

4625 Boat Club Rd Ste 257
Fort Worth, TX 76135-7023

Phone

(817) 346-6464

Fax

(817) 238-2358

NPI assigned

Feb 27, 2014

Last updated

Feb 27, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

George Kostohryz Jr., M.D.

Title

Physician

Phone

(817) 346-6464

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1393459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393459200000",
    "number": "1346665338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4625 BOAT CLUB RD STE 257",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761357023",
            "telephone_number": "817-346-6464",
            "fax_number": "817-238-2358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4625 BOAT CLUB RD STE 257",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761357023",
            "telephone_number": "817-346-6464",
            "fax_number": "817-238-2358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE KOSTOHRYZ, JR., M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-27",
        "last_updated": "2014-02-27",
        "status": "A",
        "authorized_official_last_name": "KOSTOHRYZ",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "817-346-6464",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "E8642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Otolaryngology Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Otolaryngology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.