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Contact Information

TRUDY E FEDORKO, DO
1441 N BECKLEY AVE
MMC DALLAS
DALLAS, TX75203
 Phone: 214-942-5733
 Fax: 214-942-6115
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for TRUDY E FEDORKO · (Female)

NPI # 1598775140
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 08/08/2006
Last updated 03/19/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • TX License # H4317
  • TX Medicaid 136657702
  • TX Other 82957F BLUE CROSS BLUE SHIELD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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