CKW Group, Advanced Venous Therapy

Primary specialty

Phlebology PhysicianTaxonomy code 202K00000X

Legal business name

CKW GROUP, ADVANCED VENOUS THERAPY

Practice address

1631 Lancaster Dr
Suite240
Grapevine, TX 76051-3585

Phone

(817) 510-5000

Fax

(817) 442-9586

NPI assigned

Mar 21, 2011

Organization subpart

No

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

Authorized official

Name

David E Kosmoski, MD

Title

President

Phone

(817) 510-5000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1300665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300665600000",
    "number": "1457650145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1631 LANCASTER DR",
            "address_2": "SUITE240",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513585",
            "telephone_number": "817-510-5000",
            "fax_number": "817-442-9586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 LANCASTER DR",
            "address_2": "SUITE240",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513585",
            "telephone_number": "817-510-5000",
            "fax_number": "817-442-9586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CKW GROUP, ADVANCED VENOUS THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-21",
        "last_updated": "2011-03-21",
        "status": "A",
        "authorized_official_last_name": "KOSMOSKI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-510-5000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Phlebology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawton K Chu, DMD
• Wei Lu Chuang
• Michelle Chung, BCBA
• City of Grapevine
• Civitas Dra 2016 Managment LLC
• Robert Michael Clague, PAC
• Allyssa Destiny Clancy, M.S, CCC-SLP
• Amanda Anne Clark, PA-C
• Edward Deallen Clark, M.D.
• Clinical Anesthesia Consultants LLC

• Phlebology Physician in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Phlebology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2011; 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.