Most Relevant Information
Provider Data
| NPI Number: | 1003012477 |
| Provider Name: | ARIEL MARCELO MODRYKAMIEN M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207RC0200X |
| Specialty: | Internal Medicine |
| License Number: | P8278 |
Most Important Dates
| Enumeration Date: | 06/22/2007 |
| Last Updated: | 04/06/2022 |
Provider Practice Location
3600 GASTON AVE
WADLEY TOWER, SUITE 960
DALLAS
TX
752461800
Practice Location Phone/Fax
| Phone: | 4029726078 |
| Fax: |
Provider Mailing Location
3600 GASTON AVE
WADLEY TOWER, SUITE 960
DALLAS
TX
752461800
Provider Mailing Phone/Fax
| Phone: | 4029726078 |
| Fax: |