Individual
EITAN PODGAETZ GLIKSBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3410 WORTH ST, SUITE 235, DALLAS, TX 75246
(469) 800-7370
Mailing address
3410 WORTH ST STE 235, DALLAS, TX 75246-2071
(469) 800-7370
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
51235
MN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
51235
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R0300
TX LICENSE #
TX
Enumeration date
10/02/2008
Last updated
04/08/2022
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