Provider Demographics
NPI:1710956503
Name:VOSS, KURT W (DO)
Entity Type:Individual
Prefix:MR
First Name:KURT
Middle Name:W
Last Name:VOSS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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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
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-15
Last Update Date:2012-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK9449208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX145465402Medicaid
TX145465403Medicaid
TX250012708Medicare PIN
TX8F0701Medicare PIN
H30775Medicare UPIN
TX145465403Medicaid
TX8F7930Medicare PIN
TX145465402Medicaid