| Virginia Kosicki, RD, CSP, LD, CNSC | |
|
6410 Fannin St Ste 370, Houston, TX 77030-3004 | |
| (713) 486-1148 | |
| Not Available |
| Full Name | Virginia Kosicki |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered - Nutrition, Pediatric |
| Location | 6410 Fannin St Ste 370, Houston, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841656154 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133VN1004X | Dietitian, Registered - Nutrition, Pediatric | DT84033 (Texas) | Primary |
| Provider Name | Ut Physicians |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1033157821 PECOS PAC ID: 8426960360 Enrollment ID: O20031107000268 |
| Mailing Address | Practice Location Address |
|---|---|
| Virginia Kosicki, RD, CSP, LD, CNSC 6410 Fannin St Ste 370, Houston, TX 77030-3004 Ph: (713) 486-1148 | Virginia Kosicki, RD, CSP, LD, CNSC 6410 Fannin St Ste 370, Houston, TX 77030-3004 Ph: (713) 486-1148 |
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