Search › Texas › 207VX0201X
Gennady Miroshnichenko, MD
NPI 1164784450 · on the registry since 2012
Practice
- Address
- 1201 S Main St
Fort Worth, TX 76104 - Phone
- (817) 702-6500
- Fax
- (817) 702-6561
- Clinicians at this address
- 12
Registry record
- Primary taxonomy
- 207VX0201X
207VX0201X
- Also registered as
- 207V00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-02-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas