Individual
DAVID NICK PODGURECKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1670 E BROAD ST, SUITE 102, MANSFIELD, TX 76063-1862
(817) 473-2228
(817) 473-4461
Mailing address
4110 FLOWER GARDEN DR, ARLINGTON, TX 76016-3919
(817) 561-4885
(817) 516-7224
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
F3290
TX
Other
Enumeration date
11/02/2006
Last updated
07/08/2007
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