Provider Demographics
NPI:1386614493
Name:TUNALI KOTOSKI, BELGIN (PHD)
Entity type:Individual
Prefix:DR
First Name:BELGIN
Middle Name:
Last Name:TUNALI KOTOSKI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:BELGIN
Other - Middle Name:
Other - Last Name:TUNALI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:6300 WEST LOOP SOUTH
Mailing Address - Street 2:390
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401
Mailing Address - Country:US
Mailing Address - Phone:713-867-7914
Mailing Address - Fax:713-661-0621
Practice Address - Street 1:6300 WEST LOOP SOUTH
Practice Address - Street 2:390
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401
Practice Address - Country:US
Practice Address - Phone:713-867-7914
Practice Address - Fax:713-661-0621
Is Sole Proprietor?:No
Enumeration Date:2006-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2-4246103T00000X
TX24246103TC0700X, 103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Not Answered103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX81433POtherBLUE CROSS BLUE SHIELD
TX10009093OtherAMERIGROUP
TX0124610001Medicaid
TX81433POtherBLUE CROSS BLUE SHIELD