MEDICARE: JON SENKOWSKY MD

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
1	2086S0129X	Vascular Surgery Physician	G5594	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1619976628
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JON SENKOWSKY MD

Provider Business Mailing Address
First Line	:	4201 INTERWAY PL STE 100
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76018-5668
Country	:	US
Telephone Number	:	817-735-1180
Fax Number	:	866-861-2145

Provider Business Practice Location Address
First Line	:	4201 INTERWAY PL
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76018-5668
Country	:	US
Telephone Number	:	817-735-1180
Fax Number	:	866-861-2145

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/20/2005
Last Update Date	:	10/10/2024

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Directions to “ JON SENKOWSKY MD” Practice Location

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