1699226654 NPI number — ANDRZEJ J. JANECKI MD PA

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1699226654 NPI number — ANDRZEJ J. JANECKI MD PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ANDRZEJ J. JANECKI MD PA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
TEXAS CENTER FOR DIGESTIVE HEALTH
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1699226654
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/18/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
18400 KATY FWY
Provider Second Line Business Mailing Address:
PO BUILDING #1; SUITE 405
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77094-1286
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
281-395-8688
Provider Business Mailing Address Fax Number:
281-395-8480

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
18400 KATY FWY
Provider Second Line Business Practice Location Address:
PO BUILDING #1; SUITE 405
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77094-1286
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-395-8688
Provider Business Practice Location Address Fax Number:
281-395-8480
Provider Enumeration Date:
10/14/2016

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
JANECKI
Authorized Official First Name:
ANDRZEJ
Authorized Official Middle Name:
J
Authorized Official Title or Position:
PHYSICIAN/OWNER
Authorized Official Telephone Number:
281-395-8688

Provider Taxonomy Codes

  • Taxonomy code: 207RG0100X , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)