1. Home
  2. Directory
  3. Texas
  4. Gonzales
  5. Specialist
  6. NPI Profile

DR. STEPHANIE LOIS KODACK M.D.
NPI 1326009671
Specialist in Gonzales, TX

Active since March 28, 2006
1110 N SARAH DEWITT DR, GONZALES, TX 78629(830) 672-8502(830) 672-3035 Get Directions Write a Review

NPPES record last updated: November 12, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Stephanie Lois Kodack M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. STEPHANIE LOIS KODACK M.D. (NPI 1326009671) is an individual specialist in Gonzales, Texas and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1326009671
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameDR. STEPHANIE LOIS KODACKCredential: M.D.
Location Address1110 N SARAH DEWITT DRGonzales, TX 78629-3311
Mailing Address1110 N Sarah Dewitt DrGonzales, TX 78629-3311 · (830) 672-8502 · Fax (830) 672-3035
Phone(830) 672-8502
Fax(830) 672-3035
Sole ProprietorYes
Enumeration DateMarch 28, 2006
Last NPPES UpdateNovember 12, 2013
✔ NPI 1326009671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1110 N SARAH DEWITT DR, Gonzales, TX 78629
Open in Google Maps ↗

Other Identifiers 3

Medicaid0349045-01TX
Medicare UPINB24047TX
Medicare ID-Type UnspecifiedOOMN94TX

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GONZALES HEALTHCARE SYSTEMS
Clinic/Center (Rural Health)
1110 N SARAH DEWITT DR
GONZALES, TX 78629
Gonzales County (830) 672-7581
DR. KATHLEEN MARY KOERNER D.O.
Surgery
1110 N SARAH DEWITT DR
GONZALES, TX 78629
Gonzales County (830) 672-8502
GONZALES HEALTHCARE SYSTEMS
Medicare Defined Swing Bed Unit
1110 N SARAH DEWITT DR
GONZALES, TX 78629
Gonzales County (830) 672-7581
DR. WILLIAM E CRAIG MD
Internal Medicine (Cardiovascular Disease)
1110 N SARAH DEWITT DR
GONZALES, TX 78629
Gonzales County (830) 672-3845
MR. TODD MICHAEL CRAWFORD PHYSICIAN ASST - C
Physician Assistant
1110 N SARAH DEWITT DR
GONZALES, TX 78629
Gonzales County (830) 672-8502
VICTORIA EMERGENCY PARTNERS LLC
Emergency Medicine
1110 N SARAH DEWITT DR
GONZALES, TX 78629
Gonzales County (830) 672-7581
DR. SEAN HATTENBACH M.D.
Family Medicine
1110 N SARAH DEWITT DR
GONZALES, TX 78629
Gonzales County (830) 672-8502
KAREN FORTUNE
Speech-Language Pathologist
1110 N SARAH DEWITT DR
GONZALES, TX 78629
Gonzales County (830) 672-7581

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephanie Kodack's NPI number?

The NPI number for Stephanie Kodack is 1326009671. It was assigned to this individual provider in the NPPES registry on March 28, 2006.

Where is Stephanie Kodack located?

Stephanie Kodack practices at 1110 N Sarah Dewitt Dr, Gonzales, TX 78629. The listed phone number is (830) 672-8502.

What is Stephanie Kodack's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Stephanie Kodack was last updated on November 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.