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NPI Code Detail

MEDICARE: DR. IRINA VOLOSKO DO

MEDICARE:  DR. IRINA  VOLOSKO  DO
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
1207WX0009XGlaucoma Specialist (Ophthalmology) PhysicianT6745TX

General Provider Information

NPI Number : 1023520624
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. IRINA VOLOSKO DO
Provider Business Mailing Address
First Line : 4207 JAMES CASEY ST STE 303
Second Line :
City : AUSTIN
State : TX
Zip : 78745-1193
Country : US
Telephone Number : 512-443-2046
Fax Number :
Provider Business Practice Location Address
First Line : 4207 JAMES CASEY ST STE 303
Second Line :
City : AUSTIN
State : TX
Zip : 78745-1193
Country : US
Telephone Number : 415-570-1275
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2017
Last Update Date : 08/31/2024

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Directions to “ DR. IRINA VOLOSKO DO” Practice Location

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