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Elizabeth Kosanke

General Practice β€’ Jbsa Ft Sam Houston, TX

Active NPI 1013611466 Individual Practitioner Female Practitioner
Practice location in NPPES

3551 Roger Brooke Dr Bldg 3600
Jbsa Ft Sam Houston, TX 782344504

Call 2109161925 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3551 Roger Brooke Dr Bldg 3600

Jbsa Ft Sam Houston, TX 782344504

Telephone 2109161925
Fax 2109166658
Other Listings in Public Data

NPPES lists 1 additional practice-address record in Lackland Afb, TX. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Jbsa Ft Sam Houston and Texas

134 active clinicians are listed under General Practice with a practice address in Jbsa Ft Sam Houston, TX (1,066 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Jbsa Ft Sam Houston

0% of these 134 clinicians have the CMS telehealth indicator.

0.7% of these 134 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-11-05
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

License # reported to NPPES VA 0102209131

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Secondary Practice Locations

1100 Wilford Hall Loop

Lackland Afb, TX 782365638

Phone: 2109160439

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Mariah Girard

Nurse Practitioner - Family

NPI 1861173098

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 05, 2025

General Practice (license number reported to NPPES: VA 0102209131)

βœ…
NPI Profile Active March 29, 2023

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 29, 2023

Registered at 3551 ROGER BROOKE DR BLDG 3600, JBSA FT SAM HOUSTON, TX 782344504 (Tel: 2109161925)

πŸ“
Business Mailing Address (Initial Record) March 29, 2023

Registered at 3551 ROGER BROOKE DR BLDG 3600, JBSA FT SAM HOUSTON, TX 782344504 (Tel: 2109161925)

πŸ‘€
Provider Name / Credentials (Initial Record) March 29, 2023

Recorded as ELIZABETH KOSANKE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 29, 2023

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration March 29, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1013611466
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 29, 2023
Last Update: November 05, 2025
Sole Proprietor: Yes

Other General Practices in Jbsa Ft Sam Houston

Mailing Address

3551 Roger Brooke Dr Bldg 3600

Jbsa Ft Sam Houston, TX 782344504

Phone: 2109161925

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.