Unless otherwise indicated, this information has been self-reported and has not been verified by the Board of Medicine.
Primary Practice Address
Last Updated 5/4/2024
SOC
1717 Main St Suite 5850
Dallas, TX 75201
Phone: 972-449-0540
Location Details
- Practitioner spends 80% of time at this location.
- Non-English Languages spoken by Practitioner
German Polish
Additional Practice Address
Last Updated 5/4/2024
Renessence PLLC
16 Ivy Ridge Ln
Fishersville, VA 22939
Phone: 4342426178
Location Details
- Practitioner spends 1% of time at this location.
- Days that practitioner sees patients at this location:
None
- Non-English Languages spoken by Practitioner
German Polish
Years in Active Clinical Practice
Last Updated 8/12/2022
Years in Active Clinical Practice Inside US/Canada: 32
Years in Active Clinical Practice Outside US/Canada: 2
Medicaid
Last Updated 8/12/2022
Does Not Participate in the Virginia Medicaid program Is not accepting new Virginia Medicaid patients
Medicare
Last Updated 8/12/2022
Is a Medicare participating provider
Virginia
Hospital Affiliations
Last Updated 8/12/2022
None Reported
Hospital Affiliations in States Other Than Virginia
Last Updated 8/12/2022
(Winston-Salem,NC) Forsyth Medical Center
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