MEDICARE: DR. DAVID M WOJCIECHOWSKI D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RN0300X	Nephrology Physician	S2932	TX

General Provider Information

NPI Number	:	1013976844
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID M WOJCIECHOWSKI D.O.

Provider Business Mailing Address
First Line	:	PO BOX 845347
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75284-7208
Country	:	US
Telephone Number	:	617-633-5555
Fax Number	:

Provider Business Practice Location Address
First Line	:	5939 HARRY HINES BLVD POD2, SUITE 700
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75390-2783
Country	:	US
Telephone Number	:	214-645-1919
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/21/2006
Last Update Date	:	08/15/2019

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