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ORIGIN FERTILITY PA NPI 1275291684


NPI Information

NPI: 1275291684
Provider Name: ORIGIN FERTILITY PA
Classification: Obstetrics & Gynecology - 207VE0102X
Entity Type: Organization

Specialization: Reproductive Endocrinology

CLIA Number: 45D2268159

Address:
1643 LANCASTER DR STE 309
GRAPEVINE, TX
ZIP 76051
Phone: (817) 907-2101
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ORIGIN FERTILITY PA is a reproductive endocrinology obstetrics gynecology in Grapevine, TX. The provider is an obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. ORIGIN FERTILITY PA NPI is 1275291684. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1643 LANCASTER DR STE 309
GRAPEVINE, TX
ZIP 76051-593
Phone: (817) 907-2101
Fax: (682) 339-6793

The provider's authorized official is Linda Elkins .
The authorized official title is Owner and has the following contact phone number (817) 907-2101.

The CLIA number assigned to this NPI record is 45D2268159 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 12/2/2021 and was last updated on 12/2/2021.


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
1207VE0102XObstetrics & GynecologyReproductive EndocrinologyYes

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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