Provider Demographics
NPI:1013414713
Name:KAUFMAN, RACHEL KOZINN (MD)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:KOZINN
Last Name:KAUFMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8222 DOUGLAS AVE STE 890
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75225-5939
Mailing Address - Country:US
Mailing Address - Phone:214-888-3883
Mailing Address - Fax:972-677-7790
Practice Address - Street 1:8222 DOUGLAS AVE STE 890
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75225-5939
Practice Address - Country:US
Practice Address - Phone:214-888-3883
Practice Address - Fax:972-677-7790
Is Sole Proprietor?:No
Enumeration Date:2018-04-09
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ65160208VP0000X, 207L00000X
TXU6001208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
390200000XOtherSTUDENT IN AN ORGANIZED HEALTHCARE EDUCATION/TRAINING PROGRAM