Provider Demographics
NPI:1043280365
Name:STADNYK, ALEXANDER N (MD)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:N
Last Name:STADNYK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4801 WOODWAY DR STE 369W
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77056-1892
Mailing Address - Country:US
Mailing Address - Phone:713-799-9916
Mailing Address - Fax:713-799-9917
Practice Address - Street 1:4801 WOODWAY DR STE 369W
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056-1892
Practice Address - Country:US
Practice Address - Phone:713-799-9916
Practice Address - Fax:713-799-9917
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-26
Last Update Date:2022-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH3756207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXC22155Medicare UPIN
TX00G84BMedicare ID - Type Unspecified