Individual
LINDA SUSAN KOUBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
24275 KATY FWY STE 400, KATY, TX 77494-7267
(346) 387-7171
(844) 703-5305
Mailing address
24275 KATY FWY STE 400, KATY, TX 77494-7267
(346) 387-7171
(844) 703-5305
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
432245
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
094087603
—
TX
01
—
8Y9247
BCBS PAR PLAN
TX
Enumeration date
12/28/2006
Last updated
03/17/2018
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