Organization · Type 2 NPI
J. John Stasikowski, MD PA
Specialist · Fort Worth, TX
NPI number
1093084568
Active
Practice location
1307 8th Ave, Suite 202
Fort Worth, TX 76104-4137
Fax (817) 926-2315
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | E5623 (TX) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1093084568
J. John Stasikowski, MD PA's National Provider Identifier is 1093084568, issued on Dec 29, 2011. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Fort Worth, TX. The record was last updated on Dec 29, 2011.