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Jeffrey Alan Kozak

Family Medicine

Allopathic & Osteopathic Physicians

6565 West Loop S Ste 525, Bellaire, TX 77401-3519

PECOS Enrollment

This provider is enrolled in PECOS as JEFFREY KOZAK.

Based on the most recent information from CMS, provider Jeffrey Alan Kozak is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1316279326
Provider Type
Individual
Full Name
Kozak, Jeffrey Alan
Credential
D.O.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
2/2/2010
Last Updated
4/24/2024

Contact Information

Practice Location

6565 West Loop S Ste 525, Bellaire, TX 77401-3519

(713) 661-7888

(713) 661-7899

Mailing Location

6565 West Loop S Ste 525, Bellaire, TX 77401-3519

(713) 661-7888

(713) 661-7899

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License P0619 Texas
Code 207QA0401X	Description Family Medicine Allopathic & Osteopathic Physicians	License P0619 Texas
Code 207QS0010X	Description Family Medicine Allopathic & Osteopathic Physicians	License P0619 Texas

Jeffrey Alan Kozak

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

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Description

License

Code

Description

License

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