Individual provider · NPI-1

Dr. Gina Marie Constantine, M.D.

Radiology, Diagnostic Radiology · Hurst, TX

NPI number1689850489
StatusActive
Last updated in NPPESJan 25, 2017

Details

NPI
1689850489
Entity type
Individual (NPI-1)
Name
Dr. Gina Marie Constantine
Credential
M.D.
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 11, 2008
Last updated
Jan 25, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085R0202X Radiology, Diagnostic RadiologyQ5990TXYes
193400000X Single SpecialtyQ5990TX

Other names

  • Gina Marie Constantine Porto (Other Name)

Practice location

1845 Precinct Line Rd
Ste 209
Hurst, TX 76054-3109

Phone 817-336-4638 · Fax 817-336-7637

Mailing address

1845 Precinct Line Rd
Ste 209
Hurst, TX 76054-3109

Phone 817-336-4638 · Fax 817-336-7637

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Radiology, Diagnostic Radiology providers in Hurst, TX