Individual
IZABELA TARASIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
Q3600
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036115990 1
—
IL
01
—
1627123
BCBS PROVIDER ID
IL
05
—
342823701
—
TX
01
—
342823702
CSHCN
TX
Enumeration date
01/23/2007
Last updated
04/03/2015
Update your record
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