Individual
JOSEPH MICHAEL KOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7515 GREENVILLE AVE, SUITE 710, DALLAS, TX 75231-3831
(972) 863-6100
(281) 209-8930
Mailing address
301 UNIVERSITY BLVD, RT 1022, GALVESTON, TX 77555-5302
(409) 772-2222
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
FTL41872
TX
207P00000X
Emergency Medicine Physician
N0903
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316130040
TRICARE
TX
05
—
187289704
—
TX
01
—
8BZ141
BLUE CROSS BLUE SHIELD OF TEXAS
TX
01
—
P00697292
RAILROAD MEDICARE
TX
Enumeration date
08/27/2007
Last updated
11/16/2015
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