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General NPI Number Information
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NPI Number | 1609219260
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Entity Type | Individual
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Provider Name | ANNA KOSZTOWSKI MD
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Gender | Female
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Dates
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Enumeration Date | 04/14/2013
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 3350 EXECUTIVE DR
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City | SAN ANGELO
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State | TX
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Zip | 76904-6878
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Country | US
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Telephone | 325-747-2071
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Fax | 325-747-2303
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Provider Business Mailing Address
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Address Line | 1542 TULANE AVE
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City | NEW ORLEANS
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State | LA
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Zip | 70112-2865
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Country | US
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Telephone | 504-568-4498
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | V4697
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License Number State | TX
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