| Elizabeth Koslow, DO | |
|
3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | |
| (210) 539-9582 | |
| Not Available |
| Full Name | Elizabeth Koslow |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 3551 Roger Brooke Dr, Fort Sam Houston, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114459781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 0102205506 (Virginia) | Secondary |
| 208000000X | Pediatrics | U7455 (Texas) | Primary |
| Entity Name | Pinnacle Health Medical Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932143427 PECOS PAC ID: 7618960493 Enrollment ID: O20040407000180 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Koslow, DO 3551 Roger Brooke Dr, Sammc Pediatric Residency Program, Jbsa Ft Sam Houston, TX 78234-4504 Ph: (210) 916-3160 | Elizabeth Koslow, DO 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 Ph: (210) 539-9582 |
Dr. Daniel Victor-calvin Hammond, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-3020 | |
Dr. Thornton Samuel Mu, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Mche-qd (creds), Fort Sam Houston, TX 78234 Phone: 210-916-0707 | |
Katherine Darby Dobbins, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-3230 | |
Dr. Candace Suzanne Staubitz Percival, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-216-3020 | |
Dr. Michael A Pelzner, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582 | |
Dr. Matthew William Springer, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582 | |
Dr. Robert Kurt Gillette, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Bamc -- Mche-qd (creds), Fort Sam Houston, TX 78234 Phone: 210-916-3249 |