Provider Demographics
NPI:1982699575
Name:RZASNICKI, MICHAEL C (MD)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:C
Last Name:RZASNICKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:21216 NORTHWEST FWY
Mailing Address - Street 2:SUITE 620
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-1439
Mailing Address - Country:US
Mailing Address - Phone:281-469-7704
Mailing Address - Fax:281-469-4066
Practice Address - Street 1:21216 NORTHWEST FWY
Practice Address - Street 2:SUITE 620
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-1439
Practice Address - Country:US
Practice Address - Phone:281-469-7704
Practice Address - Fax:281-469-4066
Is Sole Proprietor?:No
Enumeration Date:2005-09-20
Last Update Date:2012-03-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXK2116207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX85131YOtherBCBS
00889NMedicare PIN
8661K5Medicare PIN
G79785Medicare UPIN