Individual
DONALD D WURZBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8150 N CENTRAL EXPY, SUITE M1001, DALLAS, TX 75206-1815
(214) 221-0022
(214) 691-8292
Mailing address
8150 N CENTRAL EXPY, SUITE M1001, DALLAS, TX 75206-1815
(214) 221-0022
(214) 691-8292
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
L2762
TX
207RI0011X
Interventional Cardiology Physician
Primary
L2762
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060068733
RR MEDICARE
—
05
—
146977701
—
TX
05
—
146977702
—
TX
01
—
4216292
BLUELINK
TX
Enumeration date
06/20/2006
Last updated
11/14/2023
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