MEDICARE: DR. EUGENIA I. GINZBURG 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
1	2080N0001X	Neonatal-Perinatal Medicine Physician	G8853	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	:	1346302221
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EUGENIA I. GINZBURG M.D.

Provider Business Mailing Address
First Line	:	PO BOX 980455
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77098-0455
Country	:	US
Telephone Number	:	713-522-3900
Fax Number	:	713-840-7738

Provider Business Practice Location Address
First Line	:	5100 SAN FELIPE ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77056-3600
Country	:	US
Telephone Number	:	713-522-3900
Fax Number	:	713-840-7738

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

Provider Enumeration Date	:	12/15/2006
Last Update Date	:	06/23/2008

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