Healthcare Provider Details

I. General information

NPI: 1386572758
Provider Name (Legal Business Name): JAMES ZIOLKOWSKI
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

828 MARINA BAY DR
CLEAR LAKE SHORES TX
77565-3244
US

IV. Provider business mailing address

10303 LONG RIVER DR
SUGAR LAND TX
77498-1479
US

V. Phone/Fax

Practice location:
  • Phone: 281-910-3913
  • Fax:
Mailing address:
  • Phone: 469-785-1319
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: