Dr Ted Kovacev MD PA
NPI #1588215933 in Lake Jackson, Texas
Provider Information
- NPI Number
- 1588215933
- Entity Type
- Organization
- Organization Name
- Dr Ted Kovacev MD PA
- Primary Specialty
- Surgery
- Enumeration Date
- Sep 26, 2019
- Last Updated
- May 4, 2022
Practice Location
- Address
- 104 CIRCLE WAY ST STE A
- City
- Lake Jackson
- State
- Texas
- ZIP Code
- 77566-5200
- Phone
- (979) 721-7007
Authorized Official
- Name
- MRS. DIANE BROOKE KOVACEV
- Title
- PRACTICE MANAGER
- Phone
- (979) 721-7007
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery |
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