Provider Demographics
NPI:1477823722
Name:ALEXANDER N STADNYK MD
Entity Type:Organization
Organization Name:ALEXANDER N STADNYK MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:N
Authorized Official - Last Name:STADNYK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-799-9916
Mailing Address - Street 1:6624 FANNIN ST STE 1450
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2385
Mailing Address - Country:US
Mailing Address - Phone:713-799-9916
Mailing Address - Fax:713-799-9917
Practice Address - Street 1:6624 FANNIN ST STE 1450
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2385
Practice Address - Country:US
Practice Address - Phone:713-799-9916
Practice Address - Fax:713-799-9917
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-04
Last Update Date:2012-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH3756207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXC22155Medicare UPIN
TX00G84BMedicare PIN