Most Relevant Information
Provider Data
| NPI Number: | 1003542861 |
| Provider Name: | BRIDGET NATALIE KOWALCZYK |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/25/2022 |
| Last Updated: | 03/08/2024 |
Provider Practice Location
6431 FANNIN ST # 2.116B
HOUSTON
TX
770301501
Practice Location Phone/Fax
| Phone: | 7135005871 |
| Fax: | 7133833710 |
Provider Mailing Location
6431 FANNIN ST # 2.116B
HOUSTON
TX
770301501
Provider Mailing Phone/Fax
| Phone: | 7135005871 |
| Fax: | 7133833710 |