Edward Panousieris, Dopa

NPI #1144652900 in Mesquite, Texas

Provider Information

NPI Number
1144652900
Entity Type
Organization
Organization Name
Edward Panousieris, Dopa
Primary Specialty
Family Medicine
Enumeration Date
Aug 5, 2013
Last Updated
Aug 5, 2013

Practice Location

Address
2696 N GALLOWAY AVE
Address 2
SUITE 102
State
Texas
ZIP Code
75150-6362
Phone
(972) 613-5500

Authorized Official

Name
EDWARD PANOUSIERIS, D.O.
Title
PHYSICIAN/OWNER
Phone
(972) 613-5500

Specialties & Taxonomy Codes

Specialty
Family Medicine

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