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Individual

AGNIESZKA GOLIAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
12222 MERIT DR STE 600, DALLAS, TX 75251-3294
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 233-1999
(972) 233-3666

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
007136
AZ
207L00000X
Anesthesiology Physician
20A16304
CA
207L00000X
Anesthesiology Physician
257067
NY
207L00000X
Anesthesiology Physician
25MB08946900
NJ
207L00000X
Anesthesiology Physician
Primary
Q6019
TX
208VP0000X
Pain Medicine Physician
25MB08946900
NJ
208VP0014X
Interventional Pain Medicine Physician
257067
NY
208VP0014X
Interventional Pain Medicine Physician
25MB08946900
NJ
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03294488
NY
05
362685501
TX
01
8FR699
BCBS
TX
Enumeration date
05/13/2009
Last updated
09/07/2022
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