Provider Demographics
NPI:1326125592
Name:WOYTEK, RONALD RAY (DC, CCSP, CSCS)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:RAY
Last Name:WOYTEK
Suffix:
Gender:M
Credentials:DC, CCSP, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2601 RED BUD LN
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78664-9731
Mailing Address - Country:US
Mailing Address - Phone:512-244-3000
Mailing Address - Fax:512-244-6801
Practice Address - Street 1:2601 RED BUD LN
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664-9731
Practice Address - Country:US
Practice Address - Phone:512-244-3000
Practice Address - Fax:512-244-6801
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4125111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXB0080160Medicare UPIN
TX601486Medicare ID - Type Unspecified