Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | R7121 | TX |
N | 208000000X | Pediatrician | R72121 | TX |
Y | 2080P0204X | Pediatric Emergency Doctor | R7121 | TX |
NPI | 1114304789 |
---|---|
Provider Name | Marcela Svojsik |
First Address | Gainesville, FL 32610-3003 |
Second Address | San Antonio, TX 78207 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2015 |
Last Update Date | 20/05/2021 |