Individual provider · Type 1 NPI

Stephanie Lois Kodack, MD

Specialist · Gonzales, TX

NPI number 1326009671 Active

Practice location

1110 N Sarah Dewitt Dr
Gonzales, TX 78629-3311

Call (830) 672-8502 Map

Fax (830) 672-3035

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

39 other providers at this address

About NPI 1326009671

Stephanie Lois Kodack, MD's National Provider Identifier is 1326009671, issued on Mar 28, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Gonzales, TX. The record was last updated on Nov 12, 2013.