Provider Demographics
NPI:1457558702
Name:LONG POINT HEALTH & INJURY
Entity Type:Organization
Organization Name:LONG POINT HEALTH & INJURY
Other - Org Name:HEALTH & INJURY CENTERS
Other - Org Type:Other Name
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:J
Authorized Official - Last Name:KOWALSKI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:713-864-2787
Mailing Address - Street 1:7807 LONG POINT RD STE 305
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77055-3779
Mailing Address - Country:US
Mailing Address - Phone:713-864-2787
Mailing Address - Fax:713-864-2799
Practice Address - Street 1:7807 LONG POINT RD
Practice Address - Street 2:# 305
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055-3779
Practice Address - Country:US
Practice Address - Phone:713-864-2787
Practice Address - Fax:713-864-2799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2889111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedicGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXT14258Medicare UPIN
TX00N57XMedicare ID - Type UnspecifiedW J KOWALSKI #