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General NPI Number Information
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NPI Number | 1801947064
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Entity Type | Organization
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Legal Business Name | ELLIOT J. GINCHANSKY, M.D., P.A.
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Dates
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Enumeration Date | 01/15/2007
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Last Update Date | 07/10/2008
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Provider Practice Location Address
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Address Line | 7777 FOREST LN SUITE C530
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City | DALLAS
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State | TX
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Zip | 75230-2505
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Country | US
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Telephone | 972-566-7576
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Fax | 972-566-6177
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Provider Business Mailing Address
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Address Line | 7777 FOREST LN SUITE C530
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City | DALLAS
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State | TX
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Zip | 75230-2505
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Country | US
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Telephone | 972-566-7576
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Fax | 972-566-6177
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ELLIOT JOEL GINCHANSKY
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Credential | M.D.
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Telephone | 972-566-7576
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | E4847
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License Number State | TX
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