Godlewski, Boguslaw

Godlewski, Boguslaw is an individual health care provider with primary practice located at 1330 Wonder World Dr Ste B108, San Marcos TX 78666-7566. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Godlewski, Boguslaw can be contacted via phone (512) 396-5603.

Contact Information

Primary practice address
1330 Wonder World Dr Ste B108 San Marcos TX 78666-7566
Phone: (512) 396-5603
Fax: (512) 396-5623
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X E4848 Texas

Profile Details

NPI number 1447251905
LBN Legal business name Godlewski, Boguslaw
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Nov 23rd, 2010 - about 15 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 1447251905 NPPES
Texas MEDICAID 1025405-03

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