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Individual

DR. EUGENE JONATHAN WYSZYNSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
9 MEDICAL PKWY STE 210, FARMERS BRANCH, TX 75234-7851
(214) 449-6511
(636) 548-1132
Mailing address
9 MEDICAL PKWY STE 210, FARMERS BRANCH, TX 75234-7851
(214) 449-6511
(636) 548-1132

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
J3941
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
115286014
TX
01
452914ZQAK
MEDICARE PTAN
Enumeration date
05/08/2006
Last updated
07/24/2024
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