Individual
DR. BOGUSLAW GODLEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1330 WONDER WORLD DR, STE B108, SAN MARCOS, TX 78666-7566
(512) 396-5603
(512) 396-5623
Mailing address
AUSTIN HEART PLLC, PO BOX 402669, ATLANTA, GA 30384-2669
(512) 206-4300
(512) 206-4350
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
E4848
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1025405-03
—
TX
Enumeration date
08/09/2005
Last updated
11/23/2010
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