NPI age
4 years
Enumerated 2021-11-22
● Active
Type 1 · Individual
Marie MacAraeg Kofnovec, COTA
Kofnovec is 1 of 1 pediatrics providers in Keller and 1 of 31 in Texas.
Primary specialty
Pediatrics
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-11-22
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 31 active pediatrics providers in Texas.
NPI age
4 years
↓ 14 yr below median (18 yr)
State licenses
1 state
19% of peers hold multiple states
Subspecialties
0
41% of peers hold subspecialties
NPI lifetime · 2021 → 2026
2021-11Enumerated in NPPES
2021
2026
Where they practice
Practice location
630 Stoneglen Dr Ste B
Keller, TX 762483626
Mailing address
5724 Hunters Bend Ln
Dallas, TX 752492303
Specialties
-
Pediatrics PrimaryA 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.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 464765 | COTA |
Practice context
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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