Organization
DAVID N PODGURECKI, MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREG PODGURECKI (SUPERVISER BILLER)
(817) 561-4885
Entity
Organization
Contact information
Practice address
1670 E BROAD ST, SUITE 102, MANSFIELD, TX 76063-1862
(817) 473-2228
Mailing address
4110 FLOWER GARDEN DR, ARLINGTON, TX 76016-3919
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
F3290
TX
Other
Enumeration date
07/22/2008
Last updated
11/25/2008
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