Provider Demographics
NPI:1346302221
Name:GINZBURG, EUGENIA I (MD)
Entity Type:Individual
Prefix:DR
First Name:EUGENIA
Middle Name:I
Last Name:GINZBURG
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:PO BOX 980455
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098-0455
Mailing Address - Country:US
Mailing Address - Phone:713-522-3900
Mailing Address - Fax:713-840-7738
Practice Address - Street 1:5100 SAN FELIPE ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056-3600
Practice Address - Country:US
Practice Address - Phone:713-522-3900
Practice Address - Fax:713-840-7738
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-15
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG88532080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX113937001Medicaid