Individual
KEVIN GINGRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7201
(214) 648-7833
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
P1868
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01240537
—
NY
Enumeration date
10/05/2005
Last updated
05/16/2012
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