Individual
CEZARY KUPRIANOWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
207R00000X
Internal Medicine Physician
Primary
K4117
TX
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
K4117
TX
207RP1001X
Pulmonary Disease Physician
K4117
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113316702
—
TX
01
—
117203101
FIRSTCARE PROVIDER NUMBER
TX
01
—
290010000
RAILROAD MEDICARE PROV NO
TX
01
—
8A9851
BCBS PROVIDER NUMBER
TX
Enumeration date
12/22/2006
Last updated
06/19/2013
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