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Individual

MR. ALFRED A KOPECKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2501 N NAVARRO ST, VICTORIA, TX 77901-3912
(361) 573-6351
(361) 575-6455
Mailing address
2501 N NAVARRO ST, VICTORIA, TX 77901-3912
(361) 573-6351
(361) 575-6455

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
D0199
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
089856103
TX
01
4350502
UNITED HEALTHCARE
TX
01
8AJ287
BLUE CROSS/BLUE SHIELD
TX
Enumeration date
06/13/2006
Last updated
12/14/2011
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