Gary Pesicka
Ophthalmologist
5323 Harry Hines Blvd
Dallas
, Texas 75390-7208
Gary Pesicka
Ophthalmologist
5323 Harry Hines Blvd
Dallas
, Texas 75390-7208
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About
Features
Specialties
- Ophthalmologist
Languages spoken
- English
Location
First Address
- Gary Pesicka
- Po Box 845347
- Dallas, TX
- Zip : 75284-5347
- Phone :
Second Address
- Gary Pesicka
- 5323 Harry Hines Blvd
- Dallas, TX
- Zip : 75390-7208
- Phone : (214) 645-2020
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207W00000X | Ophthalmologist | 28979 | WI |
| Y | 207W00000X | Ophthalmologist | 43812 | TX |
National Provider Identifier
| NPI | 1033225586 |
|---|---|
| Provider Name | Gary Pesicka |
| First Address | Dallas, TX 75284-5347 |
| Second Address | Dallas, TX 75390-7208 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/08/2006 |
| Last Update Date | 07/11/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 31375900 | (05) | WI |
| B55693 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.