Individual
DR. TED ARMSTRONG KOVACEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
104 CIRCLE WAY ST STE A, LAKE JACKSON, TX 77566-5200
(979) 721-7007
(979) 721-4254
Mailing address
104 CIRCLE WAY ST STE A, LAKE JACKSON, TX 77566-5200
(979) 721-7007
(979) 721-4254
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
01070428A
IN
208600000X
Surgery Physician
Primary
Q0779
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3455156-04
—
TX
Enumeration date
10/22/2008
Last updated
05/04/2022
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