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NPI Code Detail

MEDICARE: DR. ENRIQUE PINKUSIEWICZ M.D.

MEDICARE:  DR. ENRIQUE  PINKUSIEWICZ  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207VG0400XGynecology PhysicianF6076TX

General Provider Information

NPI Number : 1013108125
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ENRIQUE PINKUSIEWICZ M.D.
Provider Business Mailing Address
First Line : 6546 LYNDON B JOHNSON FWY
Second Line :
City : DALLAS
State : TX
Zip : 75240-6502
Country : US
Telephone Number : 972-385-1333
Fax Number : 972-385-1080
Provider Business Practice Location Address
First Line : 6546 LYNDON B JOHNSON FWY
Second Line :
City : DALLAS
State : TX
Zip : 75240-6502
Country : US
Telephone Number : 972-385-1333
Fax Number : 972-385-1080
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2007
Last Update Date : 08/05/2007

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Directions to “ DR. ENRIQUE PINKUSIEWICZ M.D.” Practice Location

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