Organization
CEZARY KUPRIANOWICZ MDPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CEZARY KUPRIANOWICZ M.D. (PRESIDENT)
(432) 264-1300
Entity
Organization
Contact information
Practice address
1605 W 11TH PL, BIG SPRING, TX 79720-4114
(432) 264-1300
(432) 264-7381
Mailing address
1605 W 11TH PL, BIG SPRING, TX 79720-4114
(432) 264-1300
(432) 264-7381
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
K4117
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0087GH
BCBS GROUP NO
TX
Enumeration date
04/11/2007
Last updated
04/20/2008
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