GREATER DALLAS HEALTHCARE ENTERPRISES NPI 1255542122

NPI Information

NPI: 1255542122
Provider Name: GREATER DALLAS HEALTHCARE ENTERPRISES
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
1445 ROSS AVE STE 1400
DALLAS, TX
ZIP 75202
Phone: (469) 893-6465
Get Directions

GREATER DALLAS HEALTHCARE ENTERPRISES 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. GREATER DALLAS HEALTHCARE ENTERPRISES NPI is 1255542122. The provider is registered as an organization entity type.

The provider's business location address is:

1445 ROSS AVE STE 1400
DALLAS, TX
ZIP 75202-703
Phone: (469) 893-6465

The provider's authorized official is Robert Branstetter .
The authorized official title is Sr Dir, Administr 501a, Tenet and has the following contact phone number (469) 893-2000.

The enumeration date for this NPI number is 5/24/2007 and was last updated on 7/21/2022.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies		No
2	207Q00000X	Family Medicine		No
3	207R00000X	Internal Medicine		No
4	2085R0001X	Radiology	Radiation Oncology	No
5	207V00000X	Obstetrics & Gynecology		Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	193143801	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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