MEDICARE: DR. ALEXANDER N STADNYK M.D.

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	207RP1001X	Pulmonary Disease Physician	H3756	TX

General Provider Information

NPI Number	:	1043280365
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALEXANDER N STADNYK M.D.

Provider Business Mailing Address
First Line	:	4801 WOODWAY DR STE 369W
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77056-1892
Country	:	US
Telephone Number	:	713-799-9916
Fax Number	:	713-799-9917

Provider Business Practice Location Address
First Line	:	4801 WOODWAY DR STE 369W
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77056-1892
Country	:	US
Telephone Number	:	713-799-9916
Fax Number	:	713-799-9917

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

Provider Enumeration Date	:	01/26/2006
Last Update Date	:	01/18/2022

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