Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | F6076 | TX |
NPI | 1013108125 |
---|---|
Provider Name | Dr. Enrique Pinkusiewicz |
First Address | Dallas, TX 75240-6502 |
Second Address | Dallas, TX 75240-6502 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2007 |
Last Update Date | 05/08/2007 |