Todd Austin Kovach
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
4969 E Interstate 20 Service Rd N Suite 108
Willow Park
, Texas 76087-3220
Todd Austin Kovach
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
4969 E Interstate 20 Service Rd N Suite 108
Willow Park
, Texas 76087-3220
(817) 441-5003
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Todd Austin Kovach
- 4969 E Interstate 20 Service Rd N Suite 108
- Willow Park, TX
- Zip : 76087
- Fax : (817) 441-5003
- Phone : (817) 441-5000
Second Address
- Todd Austin Kovach
- 4969 E Interstate 20 Service Rd N Suite 108
- Willow Park, TX
- Zip : 76087-3220
- Fax : (817) 441-5003
- Phone : (817) 441-5000
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 23925 | TX |
| N | 204E00000X | Oral & Maxillofacial Surgeon | Q1436 | TX |
National Provider Identifier
| NPI | 1255570040 |
|---|---|
| Provider Name | Todd Austin Kovach |
| First Address | Willow Park, TX 76087 |
| Second Address | Willow Park, TX 76087-3220 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/02/2009 |
| Last Update Date | 06/03/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.