Individual
EDITH C. KOCZKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2727 GRAMERCY ST, HOUSTON, TX 77025-1617
(281) 580-9030
(281) 580-2725
Mailing address
PO BOX 73265, HOUSTON, TX 77273-3265
(281) 580-9030
(281) 580-2725
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
030463
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030463
CRNA LICENSE
TX
Enumeration date
07/30/2006
Last updated
07/08/2007
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