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Organization

EUGENE POSNOCK M D P A

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. EUGENE POSNOCK M.D. (PRESIDENT)
(817) 571-6622
Entity
Organization

Contact information

Practice address
2305 CENTRAL PARK BLVD, BEDFORD, TX 76022-6111
(817) 571-6622
(817) 868-1962
Mailing address
2305 CENTRAL PARK BLVD, BEDFORD, TX 76022-6111
(817) 571-6622
(817) 868-1962

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
G9644
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0354102-01
TX
Enumeration date
04/20/2007
Last updated
05/22/2012
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