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Individual

RADEK K BUKOWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1501 RED RIVER ST, AUSTIN, TX 78712-1845
(512) 324-7000
Mailing address
1501 RED RIVER ST, AUSTIN, TX 78712-1845
(512) 324-7000

Taxonomy

Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
K8034
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
105699601
TX
Enumeration date
12/08/2006
Last updated
03/17/2017
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