Organization
STAFFORD MEDICAL CLINIC OCCCUPATION AND URGENT CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WOJCIECH STANISLAW WITKOWSKI MD (OWNER)
(281) 980-1901
Entity
Organization
Contact information
Practice address
3832 GREENBRIAR DR, STAFFORD, TX 77477-3926
(281) 980-1901
(281) 980-1851
Mailing address
3832 GREENBRIAR DR, STAFFORD, TX 77477-3926
(281) 980-1901
(281) 980-1851
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
L4811
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164524701
—
TX
Enumeration date
09/30/2014
Last updated
09/30/2014
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