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:
Health care specialties
Specialty | Code | License # | 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 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1699482448 | NPPES |
Other | 15748686 | CAQH |
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