Provider Demographics
NPI:1073507141
Name:KOTZUR HUBER LLP
Entity type:Organization
Organization Name:KOTZUR HUBER LLP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SENIOR PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:J
Authorized Official - Last Name:KOTZUR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:409-727-4422
Mailing Address - Street 1:1409 S HIGHWAY 69
Mailing Address - Street 2:
Mailing Address - City:NEDERLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77627-7842
Mailing Address - Country:US
Mailing Address - Phone:409-727-4422
Mailing Address - Fax:409-729-5662
Practice Address - Street 1:1409 S HIGHWAY 69
Practice Address - Street 2:
Practice Address - City:NEDERLAND
Practice Address - State:TX
Practice Address - Zip Code:77627-7842
Practice Address - Country:US
Practice Address - Phone:409-727-4422
Practice Address - Fax:409-729-5662
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-06
Last Update Date:2007-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX157788401Medicaid
TX0010JYOtherGROUP BCBS
TXDA1083OtherRAILROAD MEDICARE GROUP
TXDA1083OtherRAILROAD MEDICARE GROUP