Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | H4102 | TX |
N | 208600000X | Surgeon | H4102 | TX |
N | 2086S0102X | Surgical Critical Care | H4102 | TX |
Y | 2086S0127X | Trauma Surgeon | H4102 | TX |
NPI | 1336178508 |
---|---|
Provider Name | Rosemary A Kozar |
First Address | Houston, TX 77216-1088 |
Second Address | Houston, TX 77030-3000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2006 |
Last Update Date | 06/02/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8Z0290 | BCBS (01) | TX |
E04533 | (02) | TX |