Individual
DR. JENNIFER RENEE COZART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1101 BATES AVE, STE P115, HOUSTON, TX 77030-2607
(832) 355-4900
(832) 355-3770
Mailing address
PO BOX 20345, HOUSTON, TX 77225-0345
(832) 355-4900
(832) 355-3770
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
N2056
TX
2086S0129X
Vascular Surgery Physician
N2056
TX
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
N2056
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
281856901
—
TX
01
—
P00946370
RAILROAD MEDICARE
TX
Enumeration date
06/14/2007
Last updated
12/09/2016
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