Provider Demographics
NPI:1336118082
Name:KURT W VOSS, D.O.
Entity Type:Organization
Organization Name:KURT W VOSS, D.O.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KURT
Authorized Official - Middle Name:W
Authorized Official - Last Name:VOSS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:817-922-1821
Mailing Address - Street 1:4432 COUNTRY HILL RD
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76140-8505
Mailing Address - Country:US
Mailing Address - Phone:817-922-1821
Mailing Address - Fax:817-922-2535
Practice Address - Street 1:1400 8TH AVE
Practice Address - Street 2:REHAB UNIT B2 NORTH
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-4110
Practice Address - Country:US
Practice Address - Phone:817-922-1821
Practice Address - Fax:817-922-2535
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-15
Last Update Date:2008-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX181403001Medicaid
TX181403001Medicaid
TX250012708Medicare PIN
H30775Medicare UPIN