Jancowski, Luis

Jancowski, Luis is an individual health care provider with primary practice located at 815 Pennsylvania Ave Suite 3100, Fort Worth TX 76104-2224. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Jancowski, Luis can be contacted via phone (817) 321-0387.

Contact Information

Primary practice address
815 Pennsylvania Ave Suite 3100 Fort Worth TX 76104-2224
Phone: (817) 321-0387
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X A98598 Ohio
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X M8736 Texas

Profile Details

NPI number 1649312935
LBN Legal business name Jancowski, Luis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2007
Last updated Aug 15th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649312935 NPPES
Texas MEDICAID 1992414-06

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