Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | M2140 | TX |
N | 111NI0900X | Internist | M2140 | TX |
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | M2140 | TX |
NPI | 1033311386 |
---|---|
Provider Name | Dr. Magdalene Maria Szuszkiewicz-Garcia |
First Address | Mansfield, TX 76063 |
Second Address | Mansfield, TX 76063 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2007 |
Last Update Date | 11/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1033311386 | MEDICARE (01) | TX |