Kurt Fossum, PHYSICIAN ASSISTANT Valid NPI

Individual provider · Physician Assistant · Fort Sam Houston, TX

NPI

1295793370

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

4940 (AZ)

Sex

Male

Sole proprietor

No

Enumerated

2006-05-01

Last updated

2026-03-06