David N Podgurecki, MD PA

NPI #1871758573 in Mansfield, Texas

Provider Information

NPI Number: 1871758573
Entity Type: Organization
Organization Name: David N Podgurecki, MD PA
Primary Specialty: Family Medicine
Enumeration Date: Jul 22, 2008
Last Updated: Nov 25, 2008

Practice Location

Address: 1670 E BROAD ST
Address 2: SUITE 102
City: Mansfield
State: Texas
ZIP Code: 76063-1862
Phone: (817) 473-2228

Authorized Official

Name: MR. GREG PODGURECKI
Title: SUPERVISER BILLER
Phone: (817) 561-4885

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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