Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | 44237 | TX |
NPI | 1467892091 |
---|---|
Provider Name | Jacek Pliszcynski |
First Address | Houston, TX 77046-0297 |
Second Address | Houston, TX 77030-1608 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2013 |
Last Update Date | 27/06/2013 |