Individual
DR. GINA MARIE CONSTANTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1845 PRECINCT LINE RD, STE 209, HURST, TX 76054-3109
(817) 336-4638
(817) 336-7637
Mailing address
1845 PRECINCT LINE RD, STE 209, HURST, TX 76054-3109
(817) 336-4638
(817) 336-7637
Taxonomy
Speciality
Code
Description
License number
State
193400000X
Single Specialty Group
Q5990
TX
2085R0202X
Diagnostic Radiology Physician
Primary
Q5990
TX
Other
Enumeration date
01/11/2008
Last updated
01/25/2017
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