Stephanie Kodack, M.D

NPI 1326009671 · on the registry since 2006 · sole proprietor

Practice

Address: 1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone: (830) 672-8502
Fax: (830) 672-3035
Organisation at this address: Gonzales Healthcare Systems
Gonzales Healthcare Systems
Gonzales Healthcare Systems
Gonzales Healthcare Systems
Cannon Emergency Physicians
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 26

Registry record

Primary taxonomy: Specialist
174400000X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2013-11-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas