Irwin S. Korngut Mdpa

NPI 1154611044 - Internal Medicine - 207R00000X

NPI Details
NPI 1154611044
Enumeration Date 04/12/2011
Last Updated 04/12/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name IRWIN S IRWIN
Position PRWSIDENT
Phone (214) 739-5505
Fax (214) 987-3194
Practice Location
8220 WALNUT HILL LN
SUITE 110
DALLAS TX, 75231-4427, US
Phone (214) 739-5505
Fax (214) 987-3194
Business Location
8220 WALNUT HILL LN
SUITE 110
DALLAS TX, 75231-4427, US
Phone (214) 739-5505
Fax (214) 987-3194
Toxanomy
Taxonomy Code 207R00000X
License State Texas
License Number E9753
Remove 1154611044 NPI Number
 

According to our database, Irwin S. Korngut Mdpa NPI is 1154611044, taxonomy code is 207R00000X and license number is E9753, license state is located at Texas. Irwin S. Korngut Mdpa physically located at 8220 Walnut Hill Ln, Dallas TX, 75231-4427. NPI Number 1033115704 has the healthcare provider type.

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1154611044 NPI number is provided on an as is basis without warranty of any kind. 1154611044 is maintained by the National Plan & Provider Enumeration System. The contents of Irwin S. Korngut Mdpa are for informational purposes only.