MEDICARE: KRONOWITZ PLASTIC SURGERY, PLLC

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
1	208200000X	Plastic Surgery Physician	L0335	TX

Other Identifiers

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

General Provider Information

NPI Number	:	1215315171
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KRONOWITZ PLASTIC SURGERY, PLLC

Provider Business Mailing Address
First Line	:	1200 BINZ ST
Second Line	:	380
City	:	HOUSTON
State	:	TX
Zip	:	77004-6900
Country	:	US
Telephone Number	:	832-236-4437
Fax Number	:

Provider Business Practice Location Address
First Line	:	3214 ROBINHOOD ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77005-2224
Country	:	US
Telephone Number	:	832-236-4437
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	DR. STEVEN JEROME KRONOWITZ
Credential	:	MD
Telephone Number	:	832-236-4437

Provider Enumeration Date	:	05/12/2015
Last Update Date	:	05/12/2015

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