Provider Demographics
NPI:1922274927
Name:KURT W. VOSS, D.O., P.A.
Entity Type:Organization
Organization Name:KURT W. VOSS, D.O., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
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:817-483-6449
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:817-483-6449
Mailing Address - Fax:
Practice Address - Street 1:3200 MATLOCK RD
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76015-2911
Practice Address - Country:US
Practice Address - Phone:817-468-4000
Practice Address - Fax:817-704-3159
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-30
Last Update Date:2018-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK9449208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX181403002Medicaid
TX181403001Medicaid
TX181403002Medicaid
TX00Z084Medicare PIN
TXDN5509Medicare PIN