Provider Demographics
NPI:1396218111
Name:STOPCZYK, JAN KRZYSZTOF (RN)
Entity Type:Individual
Prefix:MR
First Name:JAN
Middle Name:KRZYSZTOF
Last Name:STOPCZYK
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14114 AUSTIN HOLLOW CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77044-2018
Mailing Address - Country:US
Mailing Address - Phone:832-764-3038
Mailing Address - Fax:
Practice Address - Street 1:14114 AUSTIN HOLLOW CT
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77044-2018
Practice Address - Country:US
Practice Address - Phone:832-764-3038
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-03
Last Update Date:2019-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX931412163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse