Dr. Stephanie Lois Kodack , MD
Specialist • Gonzales, TX
Professional Overview & Biography Verified Profile Summary
Dr. Stephanie Kodack, MD is a registered healthcare professional specializing in Specialist in Gonzales, TX. Practice services are available at 1110 N SARAH DEWITT DR under active NPI credentials.
Practice Location & Contact Primary Location
1110 N Sarah Dewitt Dr
Gonzales, TX 786293311
Specialty Benchmarks & Practice Insights
Comparative analytics for Specialist in Gonzales, TX
Practicing in Gonzales, TX (2033 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 174400000X
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Additional State Medicaid & Healthcare Payer Identifiers
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Surgery
Doctor of Osteopathic Medicine (D.O.)
Physician Assistant
PHYSICIANASSTC
Family Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner
Family Nurse Practitioner
Family Medicine
Doctor of Medicine (M.D.)
Pediatrics
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
NPI status registered as active in NPPES database
Registered at 1110 N SARAH DEWITT DR, GONZALES, TX 786293311 (Tel: 8306728502)
Registered at 1110 N SARAH DEWITT DR, GONZALES, TX 786293311 (Tel: 8306728502)
Recorded as STEPHANIE KODACK, M.D.
Specialist
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
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NPI Administrative Meta
Mailing Address
1110 N Sarah Dewitt Dr
Gonzales, TX 786293311
Phone: 8306728502
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