Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 2889 | TX |
NPI | 1457403172 |
---|---|
Provider Name | William J Kowalski |
First Address | Houston, TX 77015 |
Second Address | Houston, TX 77015 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/01/2007 |
Last Update Date | 05/08/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
046155001 | (05) | TX |
431092 | UNITED HC (01) | TX |
4361054 | AETNA INS (01) | |
87W330 8K0780 | BC BS (01) | |
DE6464 | MEDICARE GROUP (01) | |
NA | OWCP (01) | |
P00306296 | RAILROAD (01) | |
T14258 | (02) |