Whalio Doctors

NPI 1023472107

Ryan Kostka, DO

Practitioner Surgical Critical Care Physician Fort Worth, TX

Practice location

Address
1500 S Main St Fl 2, Fort Worth, TX 76104-4917
Phone
(817) 702-3000
Fax
(817) 927-3958
Mailing address
7214 La Vista Dr, Dallas, TX 75214-4226

Registered specialties (4)

Surgical Critical Care Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2086S0102X Licence T0543 (TX)
Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence T0543 (TX)
Trauma Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 2086S0127X Licence T0543 (TX)
Student in an Organized Health Care Education/Training Program
Student, Health Care Taxonomy 390200000X

Registry record

NPI
1023472107
Entity type
Individual
Sex (as registered)
Male
NPI issued
5 Apr 2016
Record last updated
2 Aug 2022

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.