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NPI Code Detail

MEDICARE: DR. GREGORY TRUBOWITSCH M.D.

MEDICARE: DR. GREGORY TRUBOWITSCH 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
1207W00000XOphthalmology PhysicianJ2822TX
2207WX0107XRetina Specialist (Ophthalmology) Physician92-368NM
3207WX0107XRetina Specialist (Ophthalmology) PhysicianJ2822TX

Other Identifiers

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

General Provider Information

NPI Number : 1821091182
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GREGORY TRUBOWITSCH M.D.
Provider Business Mailing Address
First Line : 1700 CURIE
Second Line : SUITE #3800
City : EL PASO
State : TX
Zip : 79902
Country : US
Telephone Number : 915-532-3912
Fax Number : 915-542-3436
Provider Business Practice Location Address
First Line : 1700 CURIE DR
Second Line : STE 3800
City : EL PASO
State : TX
Zip : 79902-2985
Country : US
Telephone Number : 915-532-3912
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2005
Last Update Date : 06/17/2020

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