Provider Demographics
NPI:1750314746
Name:OCZKOWSKI, TODD P (DC)
Entity Type:Individual
Prefix:
First Name:TODD
Middle Name:P
Last Name:OCZKOWSKI
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 1:1001 CROSS TIMBERS RD STE 1020
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-8858
Mailing Address - Country:US
Mailing Address - Phone:214-395-7264
Mailing Address - Fax:888-317-7686
Practice Address - Street 1:1001 CROSS TIMBERS RD STE 1020
Practice Address - Street 2:
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028-8858
Practice Address - Country:US
Practice Address - Phone:214-395-7264
Practice Address - Fax:888-317-7686
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8418111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX609616Medicare PIN