Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | L4499 | TX |
NPI | 1114932845 |
---|---|
Provider Name | Paul Edward Kobza |
First Address | The Woodlands, TX 77381-1185 |
Second Address | The Woodlands, TX 77381-1185 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/07/2006 |
Last Update Date | 22/06/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1540205011 | (05) | TX |
H06960 | (02) | TX |