Provider Demographics
NPI:1043931553
Name:PERSHWITZ MEDICAL PLLC
Entity Type:Organization
Organization Name:PERSHWITZ MEDICAL PLLC
Other - Org Name:MODERNWEIGH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GENE
Authorized Official - Middle Name:
Authorized Official - Last Name:PERSHWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-929-2331
Mailing Address - Street 1:825 WATTERS CREEK BLVD BUILDING M
Mailing Address - Street 2:SUITE 250 PMB #0301
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-4142
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:17330 PRESTON RD STE 200D
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75252-6106
Practice Address - Country:US
Practice Address - Phone:214-929-2331
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-05
Last Update Date:2022-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty