Individual
ANDRA KOFAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2301 W WHITE AVE, 611, MCKINNEY, TX 75071-3119
(262) 989-7856
Mailing address
301 JENNY GEORGE LANE, BUILDING A, SUITE E, SWEETWATER, TX 79556
(325) 235-1942
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
PROVISIONAL
TX
Other
Enumeration date
03/25/2013
Last updated
12/12/2016
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