Basic Information
Provider Information
NPI: 1356795546
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GINSBURG
FirstName: JOSHUA
MiddleName: SCOTT
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5323 HARRY HINES BLVD
Address2:  
City: DALLAS
State: TX
PostalCode: 752845347
CountryCode: US
TelephoneNumber: 2146483916
FaxNumber: 2146488423
Practice Location
Address1: 6201 HARRY HINES BLVD
Address2:  
City: DALLAS
State: TX
PostalCode: 753900816
CountryCode: US
TelephoneNumber: 2146483916
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/14/2016
LastUpdateDate: 06/02/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/02/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000X0101267170VAN Allopathic & Osteopathic PhysiciansEmergency Medicine 
207P00000XT6895TXY Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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