Individual
DR. ELENA KOEPKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6431 FANNIN ST RM 5.181, HOUSTON, TX 77030-1501
(713) 500-5228
(713) 500-0648
Mailing address
PO BOX 301173, DALLAS, TX 75303-1173
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
R4417
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/14/2013
Last updated
12/17/2020
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