Jacqueline Kozak

LBN: Jacqueline Kozak
Jacqueline Kozak is an health care organization with primary practice located at 4402 Williams Dr 115, Georgetown TX 78628-1388. The organization recently has only one registered license in Ambulatory Health Care Facilities / Occupational Medicine, which is considered as the primary health care specialty. Jacqueline Kozak can be contacted via phone (512) 256-7627, or through Kozak, Jacqueline via phone (574) 361-7304.

Contact Information

Primary practice address
4402 Williams Dr 115 Georgetown TX 78628-1388
Phone: (512) 256-7627
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kozak, Jacqueline
Phone: (574) 361-7304

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Occupational Medicine 261QX0100X

Profile Details

NPI number 1699482448
LBN Legal business name Jacqueline Kozak
DBA Doing business as
Authorized official Kozak, Jacqueline
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2022
Last updated Dec 9th, 2022 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1699482448 NPPES
Other 15748686 CAQH

Popular Providers