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Dr. Stephanie Lois Kodack, MD
Specialist in Gonzales, Texas
NPI 1326009671

Stephanie Lois Kodack is a Specialist based in Gonzales, TX. Stephanie Lois Kodack practices in Gonzales, TX and has the professional credentials of MD. The NPI Number for Stephanie Lois Kodack is 1326009671 and holds a License No. (Texas).

The current practice location address for Stephanie Lois Kodack is 1110 N Sarah Dewitt Dr, Gonzales, TX and can be reached out via phone at 830-672-8502 and via fax at 830-672-3035.

Location: 1110 N Sarah Dewitt Dr, Gonzales, TX, 78629-3311
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326009671
Provider Name
Stephanie Lois Kodack
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1110 N Sarah Dewitt Dr, Gonzales, TX, 78629-3311
Phone Number
830-672-8502
Fax Number
830-672-3035
Provider Enumeration Date
03/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0349045-01 05 TX
institution
Provider Business Practice Location Address Details
Address
1110 N Sarah Dewitt Dr
City
Gonzales
State
Texas
Zip
78629-3311
Phone Number
830-672-8502
Fax Number
830-672-3035
person
Provider Business Mailing Address Details
Address
1110 N Sarah Dewitt Dr
City
Gonzales
State
Texas
Zip
78629-3311
Phone Number
830-672-8502
Fax Number
830-672-3035
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
(Texas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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