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MARIE MACARAEG KOFNOVEC COTA
NPI 1801553110
Pediatrics - Neurodevelopmental Disabilities in Keller, TX

Active since November 22, 2021
630 STONEGLEN DR STE B, KELLER, TX 76248(817) 734-6515(817) 717-8584 Get Directions Write a Review

NPPES record last updated: November 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Marie Macaraeg Kofnovec Cota NPPES

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

MARIE MACARAEG KOFNOVEC COTA (NPI 1801553110) is an individual neurodevelopmental disabilities provider in Keller, Texas, licensed in Texas (224Z00000X) and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1801553110
Entity TypeIndividualFemale
Primary Taxonomy2080P0008X
Provider Legal NameMARIE MACARAEG KOFNOVECCredential: COTA
Location Address630 STONEGLEN DR STE BKeller, TX 76248-3626
Mailing Address5724 Hunters Bend LnDallas, TX 75249-2303 · (972) 408-7012
Phone(817) 734-6515
Fax(817) 717-8584
Sole ProprietorNo
Enumeration DateNovember 22, 2021
NPPES CertifiedNovember 22, 2021
✔ NPI 1801553110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neurodevelopmental DisabilitiesAllopathic & Osteopathic Physicians
Taxonomy Code2080P0008X
License✔ Licensed in TX · 224Z00000X
Definition
A pediatrician who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions.
630 STONEGLEN DR STE B, Keller, TX 76248
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Other Identifiers 1

Other464765TX · Cota

Other Providers at the Same Location NPPES 4

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

MELISSA DAILEY
Speech-Language Pathologist
630 STONEGLEN DR STE B
KELLER, TX 76248
Tarrant County (817) 734-6515
GRACE V GREENE M.S., CCC-SLP
Speech-Language Pathologist
630 STONEGLEN DR STE B
KELLER, TX 76248
Tarrant County (817) 734-6515
ALLISON N MILLS M.S., CCC-SLP
Speech-Language Pathologist
630 STONEGLEN DR STE B
KELLER, TX 76248
Tarrant County (817) 734-6515
CARLY MAE SMITH OTR
Occupational Therapist
630 STONEGLEN DR STE B
KELLER, TX 76248
Tarrant County (817) 734-6515

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 Marie Kofnovec's NPI number?

The NPI number for Marie Kofnovec is 1801553110. It was assigned to this individual provider in the NPPES registry on November 22, 2021.

Where is Marie Kofnovec located?

Marie Kofnovec practices at 630 Stoneglen Dr Ste B, Keller, TX 76248. The listed phone number is (817) 734-6515.

What is Marie Kofnovec's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neurodevelopmental Disabilities, with taxonomy code 2080P0008X.

When was this NPI record last updated?

The NPPES record for Marie Kofnovec was last updated on November 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.