Healthcare Provider Details

I. General information

NPI: 1750314746
Provider Name (Legal Business Name): TODD P OCZKOWSKI D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2006
Last Update Date: 01/03/2024
Certification Date: 01/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 CROSS TIMBERS RD STE 1020
FLOWER MOUND TX
75028-8858
US

IV. Provider business mailing address

1001 CROSS TIMBERS RD STE 1020
FLOWER MOUND TX
75028-8858
US

V. Phone/Fax

Practice location:
  • Phone: 214-395-7264
  • Fax: 888-317-7686
Mailing address:
  • Phone: 214-395-7264
  • Fax: 888-317-7686

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number8418
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: