Provider Demographics
NPI:1427716927
Name:OSTAPOWICZ, MAGDALENA BEATA
Entity type:Individual
Prefix:
First Name:MAGDALENA
Middle Name:BEATA
Last Name:OSTAPOWICZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8813 N TARRANT PKWY STE 262
Mailing Address - Street 2:
Mailing Address - City:NORTH RICHLAND HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:76182-8438
Mailing Address - Country:US
Mailing Address - Phone:682-306-0030
Mailing Address - Fax:
Practice Address - Street 1:8813 N TARRANT PKWY STE 262
Practice Address - Street 2:
Practice Address - City:NORTH RICHLAND HILLS
Practice Address - State:TX
Practice Address - Zip Code:76182-8438
Practice Address - Country:US
Practice Address - Phone:682-306-0030
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-01
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1007239246ZA2600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZA2600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherArt, Medical