Individual
DR. ARIEL MARCELO MODRYKAMIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3600 GASTON AVE, WADLEY TOWER, SUITE 960, DALLAS, TX 75246-1800
(402) 972-6078
Mailing address
3600 GASTON AVE, WADLEY TOWER, SUITE 960, DALLAS, TX 75246-1800
(402) 972-6078
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
P8278
TX
207RP1001X
Pulmonary Disease Physician
Primary
P8278
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
337372201
—
TX
Enumeration date
06/22/2007
Last updated
04/06/2022
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