Ted Kovacev Md

LBN: Dr Ted Kovacev Md Pa
Ted Kovacev Md is an health care organization with primary practice located at 104 Circle Way St Ste A , Lake Jackson TX 77566-5200. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Dr Ted Kovacev Md Pa can be contacted via phone (979) 721-7007, or through Kovacev, Diane Brooke via phone (979) 721-7007.

Contact Information

Primary practice address
104 Circle Way St Ste A Lake Jackson TX 77566-5200
Fax: (979) 721-4254
Website:
Authorized official contact:
Name: Kovacev, Diane Brooke

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1588215933
LBN Legal business name Dr Ted Kovacev Md Pa
DBA Doing business as Ted Kovacev Md
Authorized official Kovacev, Diane Brooke
Entity Organization
Organization subpart 1 No
Enumeration date Sep 26th, 2019
Last updated May 4th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588215933 NPPES
Texas MEDICAID 4042707-01

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