Provider Demographics
NPI:1851393193
Name:KOTZUR, FRANCIS (MD)
Entity Type:Individual
Prefix:
First Name:FRANCIS
Middle Name:
Last Name:KOTZUR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1409 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
Is Sole Proprietor?:No
Enumeration Date:2005-06-01
Last Update Date:2009-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ1102207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX572447OtherHUMANA
TX01-21953OtherUNITED HELATHCARE
TX129045406Medicaid
TX3204490OtherAETNS
TX8H9060OtherBLUE CROSS BLUE SHIELD
TXP00013820OtherRAILROAD MEDICARE
TX01-21953OtherUNITED HELATHCARE
TX8A6545Medicare PIN