MEDICARE: DR. ALBINA JOLDOSHOVA 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	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	U2519	TX

General Provider Information

NPI Number	:	1114450384
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALBINA JOLDOSHOVA MD

Provider Business Mailing Address
First Line	:	PO BOX 35629
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75235-0629
Country	:	US
Telephone Number	:	214-424-2200
Fax Number	:	214-231-2159

Provider Business Practice Location Address
First Line	:	1800 PLAZA DR
Second Line	:
City	:	BEDFORD
State	:	TX
Zip	:	76021-6013
Country	:	US
Telephone Number	:	817-310-4490
Fax Number	:

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

Provider Enumeration Date	:	04/05/2017
Last Update Date	:	07/07/2023

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