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Contact Information

COURTLAND N KOUASSIAMAN, MD
18511 HIGHLANDER MEDICS ST
FORT BLISS, TX79906-5327
 Phone: 915-742-9615
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sleep Medicine

207RS0012X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for COURTLAND N KOUASSIAMAN · (Male)

NPI # 1720508989
Status Active
Credentials MD
Entity Individual
Enumeration date 06/20/2017
Last updated 07/07/2025 - About 11 months ago
Sole proprietor 1 No
Identifiers
  • NE License # 31945
  • WI License # 85711-20
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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