DAVID N PODGURECKI MD PA NPI 1871758573

NPI Information

  • NPI: 1871758573
  • Provider Name: DAVID N PODGURECKI, MD PA
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 1670 E BROAD ST
    SUITE 102
    MANSFIELD, TX
    ZIP 76063
  • Phone: (817) 473-2228

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NPI Details

DAVID N PODGURECKI, MD PA is a family medicine in Mansfield, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DAVID N PODGURECKI, MD PA NPI is 1871758573. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1670 E BROAD ST
SUITE 102
MANSFIELD, TX
ZIP 76063-862
Phone: (817) 473-2228

The provider's authorized official is Greg Podgurecki .
The authorized official title is Superviser Biller and has the following contact phone number (817) 561-4885.

The enumeration date for this NPI number is 7/22/2008 and was last updated on 11/25/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineF3290TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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