Individual
OLIVIA ZOFIA BENTKOWSKI GINNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
6621 FANNIN ST, HOUSTON, TX 77030-2358
(832) 822-3780
Mailing address
6621 FANNIN ST, HOUSTON, TX 77030-2399
(832) 822-3780
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
BP10056543
TX
Other
Enumeration date
05/03/2016
Last updated
06/24/2019
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