Provider Demographics
NPI:1366433765
Name:KURE, KOHJI K (PHYSICIAN ASSISTANT)
Entity type:Individual
Prefix:MR
First Name:KOHJI
Middle Name:K
Last Name:KURE
Suffix:
Gender:M
Credentials:PHYSICIAN ASSISTANT
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Mailing Address - Street 1:3200 EAGLE RDG
Mailing Address - Street 2:
Mailing Address - City:HARKER HEIGHTS
Mailing Address - State:TX
Mailing Address - Zip Code:76548-8677
Mailing Address - Country:US
Mailing Address - Phone:254-393-1617
Mailing Address - Fax:
Practice Address - Street 1:590 MEDICAL CENTER ROAD
Practice Address - Street 2:
Practice Address - City:FORT CAVAZOS
Practice Address - State:TX
Practice Address - Zip Code:76544
Practice Address - Country:US
Practice Address - Phone:254-288-0513
Practice Address - Fax:254-618-8135
Is Sole Proprietor?:No
Enumeration Date:2005-11-03
Last Update Date:2025-04-09
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant