Individual
DR. ILDIKO GIZELLA EDENHOFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1141 KINWEST PKWY STE 150, IRVING, TX 75063-3513
(972) 969-4230
(972) 409-9016
Mailing address
1141 KINWEST PKWY STE 150, IRVING, TX 75063-3513
(972) 969-4230
(972) 409-9016
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
J7475
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167970601
—
TX
05
—
167970602
—
TX
01
—
201313607
TAX ID
TX
01
—
J7475
STATE LICENSE NUMBER
TX
Enumeration date
07/18/2006
Last updated
07/18/2022
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