Organization
JOHN F. KACZMAREK, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN F KACZMAREK MD (PHYSICIAN)
(806) 467-9400
Entity
Organization
Contact information
Practice address
3611 S SONCY RD, SUITE 5-B, AMARILLO, TX 79119-6480
(806) 467-9400
Mailing address
3611 S SONCY RD, SUITE 5-B, AMARILLO, TX 79119-6408
(806) 467-9400
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
E5804
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122562504
—
TX
Enumeration date
09/26/2006
Last updated
09/15/2008
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