Provider Demographics
NPI:1497721997
Name:MARKOWSKI, JANUSZ (MD)
Entity Type:Individual
Prefix:
First Name:JANUSZ
Middle Name:
Last Name:MARKOWSKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9297 WAHRENBERGER RD
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77304-2441
Mailing Address - Country:US
Mailing Address - Phone:936-788-7770
Mailing Address - Fax:936-788-7725
Practice Address - Street 1:9297 WAHRENBERGER RD
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77304-2441
Practice Address - Country:US
Practice Address - Phone:936-788-7770
Practice Address - Fax:936-788-7725
Is Sole Proprietor?:No
Enumeration Date:2006-02-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF6904225400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXH27534Medicare UPIN
1028417Medicare ID - Type Unspecified