Individual
NISA M KUBILIUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7201
(214) 645-0595
(214) 645-0596
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 645-0595
(214) 645-0596
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
4301100584
MI
207RG0100X
Gastroenterology Physician
Primary
M1852
TX
Other
Enumeration date
11/13/2006
Last updated
07/12/2013
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