Provider Demographics
NPI:1689724668
Name:OSSOWSKI, PHILIP BERNARD (PA)
Entity Type:Individual
Prefix:MR
First Name:PHILIP
Middle Name:BERNARD
Last Name:OSSOWSKI
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Gender:M
Credentials:PA
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Mailing Address - Street 1:124 WICKIUP TRL
Mailing Address - Street 2:
Mailing Address - City:HARKER HEIGHTS
Mailing Address - State:TX
Mailing Address - Zip Code:76548-2051
Mailing Address - Country:US
Mailing Address - Phone:254-702-6669
Mailing Address - Fax:254-288-8114
Practice Address - Street 1:36000 DARNALL LOOP
Practice Address - Street 2:CARL R. DARNALL ARMY MEDICAL CENTER
Practice Address - City:FT HOOD
Practice Address - State:TX
Practice Address - Zip Code:76544
Practice Address - Country:US
Practice Address - Phone:254-288-8114
Practice Address - Fax:254-618-8099
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2009-07-13
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant