Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | S2932 | TX |
NPI | 1013976844 |
---|---|
Provider Name | Dr. David M Wojciechowski |
First Address | Dallas, TX 75284-7208 |
Second Address | Dallas, TX 75390-2783 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/03/2006 |
Last Update Date | 15/08/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I44149 | (02) |