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NPI Code Detail

MEDICARE: DR. PATRICK KOONS JR. MD

MEDICARE:  DR. PATRICK  KOONS JR. MD
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
1207L00000XAnesthesiology PhysicianK8928TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1821027301
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PATRICK KOONS JR. MD
Provider Business Mailing Address
First Line : 1002 GEMINI ST STE 128
Second Line :
City : HOUSTON
State : TX
Zip : 77058-2746
Country : US
Telephone Number : 281-218-9515
Fax Number : 281-218-9534
Provider Business Practice Location Address
First Line : 1002 GEMINI ST STE 128
Second Line :
City : HOUSTON
State : TX
Zip : 77058-2746
Country : US
Telephone Number : 281-218-9515
Fax Number : 281-218-9515
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2006
Last Update Date : 05/29/2015

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Directions to “ DR. PATRICK KOONS JR. MD” Practice Location

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