Pieniazek, Jack
Pieniazek, Jack is an individual health care provider with primary practice located at 690 S Loop 336 W Ste 222, Conroe TX 77304-3319. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Pieniazek, Jack can be contacted via phone (936) 756-6661.Contact Information
Primary practice address
690 S Loop 336 W Ste 222
Conroe TX 77304-3319
Phone: (936) 756-6661
Fax: (936) 756-6681
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | K0541 | Texas |
Profile Details
| NPI number | 1164426870 |
|---|---|
| LBN Legal business name | Pieniazek, Jack |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2005 |
| Last updated | Jun 15th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164426870 | NPPES |
| Texas | MEDICAID | 043624803 |
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