Provider Demographics
NPI:1427188051
Name:CZERMINSKI, DREW STEPHEN (DC)
Entity Type:Individual
Prefix:DR
First Name:DREW
Middle Name:STEPHEN
Last Name:CZERMINSKI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11465A TOEPPERWEIN RD
Mailing Address - Street 2:
Mailing Address - City:LIVE OAK
Mailing Address - State:TX
Mailing Address - Zip Code:78233-3138
Mailing Address - Country:US
Mailing Address - Phone:210-599-9570
Mailing Address - Fax:210-599-9572
Practice Address - Street 1:11465A TOEPPERWEIN RD
Practice Address - Street 2:
Practice Address - City:LIVE OAK
Practice Address - State:TX
Practice Address - Zip Code:78233-3138
Practice Address - Country:US
Practice Address - Phone:210-599-9570
Practice Address - Fax:210-599-9572
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2016-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6948111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX468702ZSWSMedicare PIN
TXU60163Medicare UPIN