Individual
MR. SAMUEL KOVALSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4461 COIT RD, SUITE 405, FRISCO, TX 75035-0521
(972) 377-9200
(972) 377-9300
Mailing address
9101 LYNDON B JOHNSON FWY, SUITE 710, DALLAS, TX 75243-2057
(972) 792-5700
(972) 788-4707
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA04823
TX
Other
Enumeration date
06/09/2011
Last updated
06/09/2011
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