Kovacev, Ted Armstrong
Kovacev, Ted Armstrong is an sole proprietor health care provider with primary practice located at 104 Circle Way St Ste A , Lake Jackson TX 77566-5200. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Kovacev, Ted Armstrong can be contacted via phone (979) 721-7007.Contact Information
Primary practice address
104 Circle Way St Ste A
Lake Jackson TX 77566-5200
Phone: (979) 721-7007
Fax: (979) 721-4254
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 01070428A | Indiana |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | Q0779 | Texas |
Profile Details
| NPI number | 1568614402 |
|---|---|
| LBN Legal business name | Kovacev, Ted Armstrong |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 22nd, 2008 |
| Last updated | May 4th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568614402 | NPPES |
| Texas | MEDICAID | 3455156-04 |
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