Organization
GREENS BAYOU CHIROPRACTIC CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM J KOWALSKI DC (OWNER)
(713) 451-1400
Entity
Organization
Contact information
Practice address
12655 WOODFOREST BLVD STE 200, HOUSTON, TX 77015-3574
(713) 451-1400
(713) 451-1411
Mailing address
12655 WOODFOREST BLVD STE 200, HOUSTON, TX 77015-3574
(713) 451-1400
(713) 451-1411
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
2889
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046155001
—
TX
01
—
350017778
RR MEDICARE
TX
01
—
431092
ACN UNITED
TX
01
—
4361054
AETNA
TX
01
—
87W330
PROVIDER NUMBER
TX
01
—
8K0780
BLUE CROSS
TX
Enumeration date
05/22/2007
Last updated
10/02/2013
Update your record
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