Individual
ERTUG KOVANCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 VISION PARK BLVD STE 110, SHENANDOAH, TX 77384-3003
(281) 444-4784
Mailing address
111 VISION PARK BLVD STE 110, SHENANDOAH, TX 77384-3003
(281) 444-4784
(281) 444-0429
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
L8777
TX
207VG0400X
Gynecology Physician
L8777
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165642302
—
TX
Enumeration date
04/04/2007
Last updated
08/03/2020
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