Organization Active NPI

Jenifer R Kowalik, MD, PA

  • Family Medicine Physician
  • Brownfield, TX
National Provider Identifier
1902815079
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
JENIFER R KOWALIK, MD, PA
Practice address
703 E Felt St
Brownfield, TX 79316-3439
Phone
(806) 637-1955
Fax
(806) 637-2169
NPI assigned
Aug 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2019

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

Authorized official

Name
Jenifer R Kowalik, MD
Title
Owner
Phone
(806) 637-1955

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X

Addresses

Primary practice location

703 E Felt St
Brownfield, TX 79316-3439

Mailing address

1150 N Loop 1604 W Ste 108-636
San Antonio, TX 78248-4500
Phone (806) 637-1955

National Provider Directory

National Provider Directory

Locations

1150 N Loop 1604 W
Ste 108636
San Antonio, TX 78248

NPI Registry JSON

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

{
    "created_epoch": "1154822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563926400000",
    "number": "1902815079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 N LOOP 1604 W STE 108-636",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782484500",
            "telephone_number": "806-637-1955",
            "fax_number": "806-637-2169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 E FELT ST",
            "city": "BROWNFIELD",
            "state": "TX",
            "postal_code": "793163439",
            "telephone_number": "806-637-1955",
            "fax_number": "806-637-2169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENIFER R KOWALIK, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-06",
        "last_updated": "2019-07-24",
        "status": "A",
        "authorized_official_last_name": "KOWALIK",
        "authorized_official_first_name": "JENIFER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-637-1955",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; 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.