Individual provider · NPI-1

Israel Ackerman, M.D.

Ophthalmology · Dallas, TX

NPI number1619402260
StatusActive
Last updated in NPPESMay 10, 2021

Details

NPI
1619402260
Entity type
Individual (NPI-1)
Name
Israel Ackerman
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Apr 20, 2017
Certification date
May 10, 2021
Last updated
May 10, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207W00000X OphthalmologyT0403TXYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

5323 Harry Hines Blvd
Dallas, TX 75390-3436

Phone 214-648-3848

Mailing address

Po Box 845347
Dallas, TX 75284-5347

Phone 214-645-2020

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