Individual
DR. IRINA GROMOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PH.D.
Contact information
Practice address
8222 DOUGLAS AVE, DALLAS, TX 75225-5923
(214) 905-5090
Mailing address
8222 DOUGLAS AVE STE 375, DALLAS, TX 75225-5973
(214) 905-5090
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
L4407
TX
2084P0802X
Addiction Psychiatry Physician
L4407
TX
Other
Enumeration date
06/12/2006
Last updated
10/04/2007
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