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Jacqueline Kozak
Occupational Medicine Clinic/Center in Georgetown, Texas
NPI 1699482448

Jacqueline Kozak is a Occupational Medicine Clinic/Center based in Georgetown, TX and is specialized in Occupational Medicine. Jacqueline Kozak practices in Georgetown, TX. The NPI Number for Jacqueline Kozak is 1699482448 and holds a License No. (Texas).

The current practice location address for Jacqueline Kozak is 4402 Williams Dr, Georgetown, TX and can be reached out via phone at 512-256-7627.

Location: 4402 Williams Dr, Georgetown, TX, 78628-1388
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1699482448
Provider Name
Jacqueline Kozak
Credential
Provider Entity Type
Organization
Address
4402 Williams Dr, Georgetown, TX, 78628-1388
Phone Number
512-256-7627
Fax Number
Provider Enumeration Date
11/01/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
15748686 01 CAQH
institution
Provider Business Practice Location Address Details
Address
4402 Williams Dr
City
Georgetown
State
Texas
Zip
78628-1388
Phone Number
512-256-7627
Fax Number
person
Provider Business Mailing Address Details
Address
4402 Williams Dr
City
Georgetown
State
Texas
Zip
78628-1388
Phone Number
512-256-7627
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Occupational Medicine
Taxonomy
261QX0100X
License No.
()
Definition
Definition to come...
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