DR. Stephanie Lois Kodack, M.D.

NPI #1326009671 in Gonzales, Texas

Provider Information

NPI Number
1326009671
Entity Type
Individual
Name
DR. Stephanie Lois Kodack, M.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist
Credential
M.D.
Enumeration Date
Mar 28, 2006
Last Updated
Nov 12, 2013

Practice Location

Address
1110 N SARAH DEWITT DR
State
Texas
ZIP Code
78629-3311
Phone
(830) 672-8502

Specialties & Taxonomy Codes

Specialty
Specialist

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