NPI 1457650145
Ckw Group, Advanced Venous Therapy
Practice location
- Address
- 1631 Lancaster Dr Suite240, Grapevine, TX 76051-3585
- Phone
- (817) 510-5000
- Fax
- (817) 442-9586
Authorised official
- Name
- David E Kosmoski
- Title
- President
- Phone
- (817) 510-5000
Registered specialties
Phlebology Physician
Primary
Registry record
- NPI
- 1457650145
- Entity type
- Organization
- NPI issued
- 21 Mar 2011
- Record last updated
- 21 Mar 2011
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.