Bukowski, Radek K

Bukowski, Radek K is an individual health care provider with primary practice located at 1501 Red River St , Austin TX 78712-1845. He recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as his primary health care specialty. Bukowski, Radek K can be contacted via phone (512) 324-7000.

Contact Information

Primary practice address
1501 Red River St Austin TX 78712-1845
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X K8034 Texas

Profile Details

NPI number 1922167352
LBN Legal business name Bukowski, Radek K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2006
Last updated Mar 17th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922167352 NPPES
Texas MEDICAID 105699601

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