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PHASES OF LIFE WOMENS HEALTH CARE PA NPI 1033307368


NPI Information

NPI: 1033307368
Provider Name: PHASES OF LIFE WOMENS HEALTH CARE, PA
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
7999 WEST VIRGINIA
SUITE A
DALLAS, TX
ZIP 75237
Phone: (972) 296-4777
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PHASES OF LIFE WOMENS HEALTH CARE, PA 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. PHASES OF LIFE WOMENS HEALTH CARE, PA NPI is 1033307368. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7999 WEST VIRGINIA
SUITE A
DALLAS, TX
ZIP 75237-041
Phone: (972) 296-4777
Fax: (972) 296-5499

The provider's authorized official is Raj Kakarla .
The authorized official title is Md and has the following contact phone number (972) 296-4777.

The enumeration date for this NPI number is 10/11/2007 and was last updated on 2/19/2010.


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 License Number License State Primary
1207V00000XObstetrics & GynecologyG0736TEXASYes

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
18L17089MEDICARE PINTEXAS
20362279-02MEDICAIDTEXAS

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: 5/5/2024

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