Individual
WILLIAM J KOWALSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC FACO
Contact information
Practice address
12655 WOODFOREST BLVD, #200, HOUSTON, TX 77015
(713) 451-1400
(713) 451-1411
Mailing address
12655 WOODFOREST BLVD, #200, HOUSTON, TX 77015
(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
—
431092
UNITED HC
TX
01
—
4361054
AETNA INS
—
01
—
87W330 8K0780
BC BS
—
01
—
DE6464
MEDICARE GROUP
—
01
—
NA
OWCP
—
01
—
P00306296
RAILROAD
—
Enumeration date
01/16/2007
Last updated
08/05/2013
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