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Marie Macaraeg Kofnovec, COTA
Pediatric Neurodevelopmental Disabilities Physician in Keller, Texas
NPI 1801553110

Marie Macaraeg Kofnovec is a Pediatric Neurodevelopmental Disabilities Physician based in Dallas, TX and is specialized in Neurodevelopmental Disabilities. Marie Macaraeg Kofnovec practices in Keller, TX and has the professional credentials of COTA. The NPI Number for Marie Macaraeg Kofnovec is 1801553110 and holds a License No. 224Z00000X (Texas).

The current practice location address for Marie Macaraeg Kofnovec is 630 Stoneglen Dr Ste B, Keller, TX and can be reached out via phone at 817-734-6515 and via fax at 817-717-8584.

Location: 630 Stoneglen Dr Ste B, Keller, TX, 75249-2303
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801553110
Provider Name
Marie Macaraeg Kofnovec
Credential
COTA
Provider Entity Type
Individual
Gender
Female
Address
630 Stoneglen Dr Ste B, Keller, TX, 75249-2303
Phone Number
817-734-6515
Fax Number
817-717-8584
Provider Enumeration Date
11/22/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
464765 01 TX COTA
institution
Provider Business Practice Location Address Details
Address
630 Stoneglen Dr Ste B
City
Keller
State
Texas
Zip
76248-3626
Phone Number
817-734-6515
Fax Number
817-717-8584
person
Provider Business Mailing Address Details
Address
630 Stoneglen Dr Ste B
City
Keller
State
Texas
Zip
76248-3626
Phone Number
817-734-6515
Fax Number
817-717-8584
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Neurodevelopmental Disabilities
Taxonomy
2080P0008X
License No.
224Z00000X (Texas)
Definition
A pediatrician who treats children having developmental delays or learning disorders including those associated with visual and hearing impairment, mental retardation, cerebral palsy, spina bifida, autism and other chronic neurologic conditions. This specialist provides medical consultation and education and assumes leadership in the interdisciplinary management of children with neurodevelopmental disorders. They may also focus on the early identification and diagnosis of neurodevelopmental disabilities in infants and young children as well as on changes that occur as the child with developmental disabilities grows.
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