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NPI Code Detail

MEDICARE: ALBERT T. KOCUREK M.D., P.L.L.C.

MEDICARE: ALBERT T. KOCUREK M.D., P.L.L.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12083P0011XUndersea and Hyperbaric Medicine (Preventive Medicine) Physician
2207PE0005XUndersea and Hyperbaric Medicine (Emergency Medicine) Physician

General Provider Information

NPI Number : 1073762571
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALBERT T. KOCUREK M.D., P.L.L.C.
Provider Business Mailing Address
First Line : 1125 HIGHWAY 3 N
Second Line : SUITE 100
City : TEXAS CITY
State : TX
Zip : 77591-4048
Country : US
Telephone Number : 409-938-5766
Fax Number : 409-938-5589
Provider Business Practice Location Address
First Line : 1125 HIGHWAY 3 N
Second Line : SUITE 100
City : TEXAS CITY
State : TX
Zip : 77591-4048
Country : US
Telephone Number : 409-938-5766
Fax Number : 409-938-5589
Authorized Official
Title or Position : MEMBER
Name : ALBERT TERRAZAS KOCUREK
Credential : M.D.
Telephone Number : 409-938-5766
Provider Enumeration Date : 09/09/2008
Last Update Date : 11/01/2011

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