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DENTON OBSTETRICS AND GYNECOLOGY PA NPI 1548242803


NPI Information

NPI: 1548242803
Provider Name: DENTON OBSTETRICS AND GYNECOLOGY PA
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 45D2129258

Address:
209 N BONNIE BRAE ST STE 304
DENTON, TX
ZIP 76201
Phone: (940) 503-3601
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DENTON OBSTETRICS AND GYNECOLOGY PA is an obstetrics gynecology in Denton, 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. DENTON OBSTETRICS AND GYNECOLOGY PA NPI is 1548242803. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

209 N BONNIE BRAE ST STE 304
DENTON, TX
ZIP 76201-748
Phone: (940) 503-3601
Fax: (940) 503-3602

The provider's authorized official is Christina Ann Dooley .
The authorized official title is Owner and has the following contact phone number (940) 503-3601.

The CLIA number assigned to this NPI record is 45D2129258 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/14/2005 and was last updated on 12/19/2018.


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 & GynecologyYes

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
1175107501MEDICAIDTEXAS

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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