Provider Demographics
NPI:1164400982
Name:EFTIMESCU, DINA F (MD)
Entity Type:Individual
Prefix:
First Name:DINA
Middle Name:F
Last Name:EFTIMESCU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5920 SARATOGA BLVD
Mailing Address - Street 2:NUMBER 360
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78414
Mailing Address - Country:US
Mailing Address - Phone:361-500-4151
Mailing Address - Fax:361-993-5331
Practice Address - Street 1:5920 SARATOGA BLVD
Practice Address - Street 2:NUMBER 360
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78414
Practice Address - Country:US
Practice Address - Phone:361-500-4151
Practice Address - Fax:361-993-5331
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-03
Last Update Date:2011-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK2203207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX104968603Medicaid
TX8D0025Medicare ID - Type Unspecified
TX104968603Medicaid