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Individual
JEFFREY ALAN KOZAK
Active
Individual
JEFFREY ALAN KOZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
P0619
TX
207QA0401X
Addiction Medicine (Family Medicine) Physician
P0619
TX
207QS0010X
Sports Medicine (Family Medicine) Physician
P0619
TX
Other
Enumeration date
02/02/2010
Last updated
04/24/2024
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