OB GYN DALLAS P.A. NPI 1083890636

NPI Information

OB GYN DALLAS, P.A. is an obstetrics gynecology in Dallas, TX. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. OB GYN DALLAS, P.A. NPI is 1083890636. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8160 WALNUT HILL LN
SUITE 219
DALLAS, TX
ZIP 75231-339
Phone: (214) 369-2400
Fax: (214) 369-7528

The provider's authorized official is Tara Dullye .
The authorized official title is Owner and has the following contact phone number (214) 369-2400.

The CLIA number assigned to this NPI record is 45D1034608 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/14/2008 and was last updated on 1/14/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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