Eitan Podgaetz Gliksberg (NPI# 1689825119, PAC ID# 5890851745) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is THORACIC SURGERY.
| Nation Provider ID (NPI) | 1689825119 |
| PAC ID by PECOS | 5890851745 |
| Professional Enrollment ID | I20170317000586 |
| Full Name | Eitan Podgaetz Gliksberg |
| Organization Legal Name | HEALTHTEXAS PROVIDER NETWORK |
| Address |
2504 Ridge Rd Suite 202 Rockwall TX 75087-2571 |
| Phone Number | 4698007370 |
| Gender | M |
| Graduation Year | 2003 |
| Primary Specialty | THORACIC SURGERY |
| Group Practice PAC ID | 1355254210 |
| Number of Group Practice Members | 1318 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450021 | BAYLOR UNIVERSITY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3410 Worth St, 235 Baylor Scott and White, Dallas, TX 75246-2071 | 2148202302 | HEALTHTEXAS PROVIDER NETWORK |
| 3500 Gaston Ave, Fl 1, Dallas, TX 75246-2017 | 9728176100 | HEALTHTEXAS PROVIDER NETWORK |
| 3600 Gaston Ave, Dallas, TX 75246-1800 | HEALTHTEXAS PROVIDER NETWORK | |
| 4001 Worth St, Dallas, TX 75246-1608 | HEALTHTEXAS PROVIDER NETWORK | |
| 2504 Ridge Rd, Suite 202, Rockwall, TX 75087-2571 | 4698007370 | HEALTHTEXAS PROVIDER NETWORK |
| Organization Legal Name | HEALTHTEXAS PROVIDER NETWORK |
| Physicians | 1392 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen T Mathew | Orthopedic Surgery | Healthtexas Provider Network | 2460 N Ih 35 E, 225 Baylor Scott and White Orthopedic Specialists, Waxahachie, TX 75165-5273 |
| Patrick D Sims | Physical Medicine and Rehabilitation | Healthtexas Provider Network | 6601 Harris Pkwy, Fort Worth, TX 76132-6108 |
| Nadia Karyn Rajack | Hospice/palliative Care | Healthtexas Provider Network | 3410 Worth St, 820 Baylor Scott White, Dallas, TX 75246-2003 |
| Enayetullah Neak | Family Medicine | Healthtexas Provider Network | 2740 N State Hwy 360, Suite 100, Grand Prairie, TX 75050-6409 |
| Jessica L Hainsfurther | Family Medicine | Healthtexas Provider Network | 5800 E Lovers Ln, Dallas, TX 75206-2901 |
| Kathryn R Taylor | Nurse Practitioner | Healthtexas Provider Network | 6701 Heritage Pkwy, Suite 130, Rockwall, TX 75087-8799 |
| Rachel L Pigeon | Nurse Practitioner | Healthtexas Provider Network | 1250 8th Ave, Suite 200, Fort Worth, TX 76104-4158 |
| Hollyann D Bennett | Nurse Practitioner | Healthtexas Provider Network | 511 W Fm 544, 204 Baylor Scott and White Premier Orthop, Murphy, TX 75094-4628 |
| Caroline K Kesterson | Nurse Practitioner | Healthtexas Provider Network | 4708 Alliance Blvd, Suite 550, Plano, TX 75093-5363 |
| Neil A Mauskar | Plastic and Reconstructive Surgery | Healthtexas Provider Network | 3409 Worth St, 600 Baylor Scott and White Plastic and Recons Surg Dall, Dallas, TX 75246-2042 |
| Street Address |
2504 RIDGE RD SUITE 202 |
| City | ROCKWALL |
| State | TX |
| Zip | 75087-2571 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven H Thompson | Internal Medicine | 2504 Ridge Rd, Suite 205, Rockwall, TX 75087-2571 | |
| Elizabeth B Houshmand | Dermatology | Epiphany Dermatology Pa | 2504 Ridge Rd, Suite 203, Rockwall, TX 75087-2571 |
| Richard L Brooks | Internal Medicine | 2504 Ridge Rd, Suite 205, Rockwall, TX 75087-2571 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jenni K. Underhill | Anesthesiology | Metropolitan Anesthesia Consultants, LLP | 825 W Yellow Jacket Lane, Rockwall, TX 75087 |
| Jay T Humphrey | Chiropractic | 433 E Interstate 30, Rockwall, TX 75087 | |
| Brittney Marie Downing | Physical Therapy | Ideal Physical Therapy of Texas LLC | 2268 N Lakeshore Dr, Suite 106, Rockwall, TX 75087-0280 |
| Ryan M Litton | Physical Therapy | Ideal Physical Therapy of Texas LLC | 2268 N Lakeshore Dr, Suite 106, Rockwall, TX 75087-0280 |
| Cecilia Wong | Physical Therapy | Ideal Physical Therapy of Texas LLC | 2268 N Lakeshore Dr, Suite 106, Rockwall, TX 75087-0280 |
| Silvia P Galvez-uribe | Physical Therapy | Ideal Physical Therapy of Texas LLC | 2268 N Lakeshore Dr, Suite 106, Rockwall, TX 75087-0280 |
| Joseph C Migliaccio | Chiropractic | 105 N Goliad St, Performance Chiropractic and Wellness, Rockwall, TX 75087-2539 | |
| John Clark Weddle | Chiropractic | 105 N Goliad, Rockwall, TX 75087-2539 | |
| Michael R Jackson | Family Medicine | Sparks Clinic Pa | 103 N 1st St, Rockwall, TX 75087-3033 |
| Robert D Sparks | Family Medicine | Sparks Clinic Pa | 103 N 1st St, Rockwall, TX 75087-3033 |
| Find all physicians in zip 75087 | |||
| City | ROCKWALL |
| Zip Code | 75087 |
| Specialty | THORACIC SURGERY |
| City + Specialty | ROCKWALL + THORACIC SURGERY |
Please comment or provide details below to improve the information on Eitan Podgaetz Gliksberg.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.