Individual
KAZUMI KOJIMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6606 LBJ FWY STE 200, DALLAS, TX 75240-6524
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 650865, DALLAS, TX 75265-0865
(972) 715-5000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
725172
TX
390200000X
Student in an Organized Health Care Education/Training Program
725172
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
315507901
—
TX
05
—
315507902
—
TX
01
—
8161UE
BCBS
TX
01
—
8321UG
BCBS TX
TX
Enumeration date
12/04/2012
Last updated
10/28/2015
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