Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Kurt Fossum, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1295793370

Mr. Kurt Fossum, PHYSICIANASSISTANT is a Physician Assistant in Fort Sam Houston, Texas. Works from 2 locations. Licensed in Arizona, North Carolina and Texas.

Licensed in
AZ, NC, TX
In the registry since
2006
Specialties on file
3

Practice location Address checks out

3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Phone: (210) 916-5512
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2008 Nine Rd, Brady, TX 76825-7210 — (325) 597-2901

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4940 (AZ)
Physician Assistant Taxonomy 363A00000X · Licence PA09161 (TX)
Physician Assistant Taxonomy 363A00000X · Licence 0010-00990 (NC)

Record details

NPI number1295793370
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedMay 1, 2006
Last updated in NPPESMarch 6, 2026
Certification dateMarch 6, 2026

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