Healthcare Provider Details

I. General information

NPI: 1750453775
Provider Name (Legal Business Name): MICHAEL JOSEPH KABZINSKI D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/14/2006
Last Update Date: 02/09/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18379 KUYKENDAHL RD
SPRING TX
77379-8158
US

IV. Provider business mailing address

18379 KUYKENDAHL RD
SPRING TX
77379-8158
US

V. Phone/Fax

Practice location:
  • Phone: 281-419-7900
  • Fax:
Mailing address:
  • Phone: 281-419-7900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number6875
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: