Provider Demographics
NPI:1114932845
Name:KOBZA, PAUL EDWARD (DO)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:EDWARD
Last Name:KOBZA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9006 FOREST XING
Mailing Address - Street 2:SUITE E
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77381-1185
Mailing Address - Country:US
Mailing Address - Phone:281-363-2829
Mailing Address - Fax:281-292-1201
Practice Address - Street 1:9006 FOREST XING
Practice Address - Street 2:SUITE E
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77381-1185
Practice Address - Country:US
Practice Address - Phone:281-363-2829
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-30
Last Update Date:2012-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL4499207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1540205011Medicaid
TX8B1368Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER
TX1540205011Medicaid