Obstetrics & Gynecology, Gynecologic Oncology
GENNADY MIROSHNICHENKO MD
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1164784450 · enumerated 2012-06-12 · record updated 2021-02-01. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 1201 S MAIN ST, FORT WORTH, TX, 76104-4804 (817) 702-6500 Fax (817) 702-6561 Google Maps Apple Maps OpenStreetMap
- Mailing address PO BOX 732973, DALLAS, TX, 75373-2973 (817) 702-8450 Google Maps Apple Maps OpenStreetMap
Specialties
- Obstetrics & Gynecology 207V00000X · License P4595 TX
- Obstetrics & Gynecology, Gynecologic Oncology 207VX0201X · Primary · License P4595 TX
In this directory
TX Tarrant County Fort Worth Obstetrics & Gynecology, Gynecologic Oncology
Locations and evidence
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Practice location
FORT WORTH, TX, 761044804
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.