Provider Demographics
NPI:1851392716
Name:KUJAWSKI, WILLIAM JOSEPH (APRN)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:JOSEPH
Last Name:KUJAWSKI
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6450 FOLSOM DR
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77706-7269
Mailing Address - Country:US
Mailing Address - Phone:409-835-0524
Mailing Address - Fax:409-835-0632
Practice Address - Street 1:6450 FOLSOM DR
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77706-7269
Practice Address - Country:US
Practice Address - Phone:409-835-0524
Practice Address - Fax:409-835-0632
Is Sole Proprietor?:No
Enumeration Date:2005-08-02
Last Update Date:2022-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP112286363LF0000X
TX639043363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8C9549Medicare ID - Type Unspecified
Q30875Medicare UPIN