Healthcare Provider Details

I. General information

NPI: 1073507141
Provider Name (Legal Business Name): KOTZUR HUBER LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/06/2005
Last Update Date: 12/12/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1409 S HIGHWAY 69
NEDERLAND TX
77627-7842
US

IV. Provider business mailing address

1409 S HIGHWAY 69
NEDERLAND TX
77627-7842
US

V. Phone/Fax

Practice location:
  • Phone: 409-727-4422
  • Fax: 409-729-5662
Mailing address:
  • Phone: 409-727-4422
  • Fax: 409-729-5662

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. FRANCIS J KOTZUR
Title or Position: SENIOR PARTNER
Credential: M.D.
Phone: 409-727-4422