Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013611466 Individual Practitioner Female Practitioner

Elizabeth Kosanke

General Practice • Jbsa Ft Sam Houston, TX

Professional Overview & Biography Verified Profile Summary

Elizabeth Kosanke is a registered healthcare professional specializing in General Practice in Jbsa Ft Sam Houston, TX. Practice services are available at 3551 ROGER BROOKE DR BLDG 3600 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3551 Roger Brooke Dr Bldg 3600

Jbsa Ft Sam Houston, TX 782344504

Telephone 2109161925
Fax 2109166658

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Jbsa Ft Sam Houston, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.0 Yrs
State Avg: 27.9 Yrs
Regional Practice Density
134 Specialists

Practicing in Jbsa Ft Sam Houston, TX (1183 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-11-05
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License VA 0102209131

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Secondary Practice Locations

1100 Wilford Hall Loop

Lackland Afb, TX 782365638

Phone: 2109160439

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

29 Associated Practitioners
Dr. Matthew Kim , MD

Military Health Care Provider

NPI 1053250738

Doctor of Medicine (M.D.)

Shelby Williams

Military Health Care Provider

NPI 1093562456
Dr. Ethan Hitchcock , DO

Military Health Care Provider

NPI 1104764489

Doctor of Osteopathic Medicine (D.O.)

Dr. Sean Cleary , MD

General Practice

NPI 1124879028

Doctor of Medicine (M.D.)

Eric Hennemann

Military Health Care Provider

NPI 1194534602
Dr. Pranav Singh , MD

General Practice

NPI 1235831447

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 05, 2025

General Practice (License #0102209131 in VA)

NPI Profile Active March 29, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location March 29, 2023

Registered at 3551 ROGER BROOKE DR BLDG 3600, JBSA FT SAM HOUSTON, TX 782344504 (Tel: 2109161925)

📍
Updated Business Mailing Address March 29, 2023

Registered at 3551 ROGER BROOKE DR BLDG 3600, JBSA FT SAM HOUSTON, TX 782344504 (Tel: 2109161925)

👤
Provider Name / Credentials Updated March 29, 2023

Recorded as ELIZABETH KOSANKE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 29, 2023

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 29, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1013611466
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 29, 2023
Last Update: November 05, 2025
Sole Proprietor: Yes

Mailing Address

3551 Roger Brooke Dr Bldg 3600

Jbsa Ft Sam Houston, TX 782344504

Phone: 2109161925

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.