Individual
TINA M GINGRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4510 MEDICAL CENTER DR, MCKINNEY, TX 75069-1650
(214) 295-8675
(866) 207-2534
Mailing address
PO BOX 2358, MCKINNEY, TX 75070-8169
(214) 295-8675
(866) 207-2534
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Q9162
TX
207V00000X
Obstetrics & Gynecology Physician
Primary
Q9162
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036087255
—
IL
01
—
12646
BLUE SHIELD MISSOURI
MO
01
—
160041360
RR MEDICARE
IL
01
—
371324674
TAX ID
IL
01
—
6004798
BCBS ILLINOIS
IL
Enumeration date
03/24/2006
Last updated
01/03/2020
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