Provider Demographics
NPI:1083926133
Name:KOSHY, ANSON (MD; MBE)
Entity Type:Individual
Prefix:DR
First Name:ANSON
Middle Name:
Last Name:KOSHY
Suffix:
Gender:M
Credentials:MD; MBE
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:6655 TRAVIS ST STE 800
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-1352
Mailing Address - Country:US
Mailing Address - Phone:713-500-8300
Mailing Address - Fax:713-500-8289
Practice Address - Street 1:6655 TRAVIS ST STE 800
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1352
Practice Address - Country:US
Practice Address - Phone:713-500-3600
Practice Address - Fax:713-383-1482
Is Sole Proprietor?:No
Enumeration Date:2010-07-06
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXP68512080P0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral Pediatrics