Individual
DR. MARK RYAN KOZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
26940 KUYKENDAHL RD, TOMBALL, TX 77375-3515
(281) 440-5300
Mailing address
2255 E MOSSY OAKS RD STE 500, SPRING, TX 77389-1813
(281) 440-5300
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
L8778
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166889902
—
TX
Enumeration date
06/11/2006
Last updated
08/04/2024
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