Provider Demographics
NPI:1962494013
Name:KOWALSKA, ANNA T (MD)
Entity Type:Individual
Prefix:DR
First Name:ANNA
Middle Name:T
Last Name:KOWALSKA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:350 WESTPARK WAY
Mailing Address - Street 2:#123
Mailing Address - City:EULESS
Mailing Address - State:TX
Mailing Address - Zip Code:76040-3964
Mailing Address - Country:US
Mailing Address - Phone:817-267-3065
Mailing Address - Fax:817-545-9097
Practice Address - Street 1:350 WESTPARK WAY
Practice Address - Street 2:#123
Practice Address - City:EULESS
Practice Address - State:TX
Practice Address - Zip Code:76040-3964
Practice Address - Country:US
Practice Address - Phone:817-267-3065
Practice Address - Fax:817-545-9097
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-16
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXJ0559208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
E98059Medicare UPIN