Individual
MS. AGNIESZKA SZCZEPANSKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1605 S 31ST ST, TEMPLE, TX 76508-0001
(254) 215-0100
(254) 215-0636
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA06321
TX
363AM0700X
Medical Physician Assistant
PA06321
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00812728
RAILROAD MEDICARE
TX
Enumeration date
07/01/2009
Last updated
11/06/2020
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