Organization Active NPI

Kristen J Kozma DO PA

  • Primary Care Clinic/Center
  • Midland, TX
National Provider Identifier
1316363187
Registry record updated Mar 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
K5173 Issued in TX
Legal business name
KRISTEN J KOZMA DO PA
Practice address
1304 W Texas Ave
Midland, TX 79701-6176
Phone
(432) 262-2660
Fax
(432) 262-2448
NPI assigned
Mar 17, 2014
Last updated
Mar 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kristen Joan Kozma, D.O.
Title
President
Phone
(432) 262-2660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X K5173 TX Primary

Addresses

Primary practice location

1304 W Texas Ave
Midland, TX 79701-6176

Mailing address

1304 W Texas Ave
Midland, TX 79701-6176
Phone (432) 262-2660

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1395014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395014400000",
    "number": "1316363187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 W TEXAS AVE",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797016176",
            "telephone_number": "432-262-2660",
            "fax_number": "432-262-2448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 W TEXAS AVE",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797016176",
            "telephone_number": "432-262-2660",
            "fax_number": "432-262-2448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTEN J KOZMA DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-17",
        "last_updated": "2014-03-17",
        "status": "A",
        "authorized_official_last_name": "KOZMA",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "JOAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "432-262-2660",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "K5173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.