| Irwin S. Korngut Mdpa | |
|
8220 Walnut Hill Ln Suite 110 Dallas TX 75231-4427 | |
| (214) 739-5505 | |
| (214) 987-3194 |
| Full Name | Irwin S. Korngut Mdpa |
|---|---|
| Speciality | Internal Medicine |
| Location | 8220 Walnut Hill Ln, Dallas, Texas |
| Authorized Official Name and Position | Irwin S Korngut (PRWSIDENT) |
| Authorized Official Contact | 2147395505 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Irwin S. Korngut Mdpa 8220 Walnut Hill Ln Suite 110 Dallas TX 75231-4427 Ph: (214) 739-5505 | Irwin S. Korngut Mdpa 8220 Walnut Hill Ln Suite 110 Dallas TX 75231-4427 Ph: (214) 739-5505 |
| NPI Number | 1154611044 |
|---|---|
| Provider Enumeration Date | 04/12/2011 |
| Last Update Date | 04/12/2011 |
| Medicare PECOS PAC ID | 7012191174 |
|---|---|
| Medicare Enrollment ID | O20110414000078 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154611044 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | E9753 (Texas) | Primary |
| Provider Name | Irwin Steven Korngut |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669430351 PECOS PAC ID: 8921282088 Enrollment ID: I20110414000099 |
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