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NPI Code Detail

MEDICARE: ALYSSA DAWN PRICE MD

MEDICARE: ALYSSA DAWN PRICE MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology PhysicianT4250TX

General Provider Information

NPI Number : 1053817858
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYSSA DAWN PRICE MD
Provider Business Mailing Address
First Line : 8780 HIGHTOWER DR
Second Line :
City : NORTH RICHLAND HILLS
State : TX
Zip : 76182-6175
Country : US
Telephone Number : 469-688-5942
Fax Number :
Provider Business Practice Location Address
First Line : 3500 GASTON AVE
Second Line :
City : DALLAS
State : TX
Zip : 75246-2017
Country : US
Telephone Number : 972-431-0716
Fax Number : 972-808-7267
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2018
Last Update Date : 06/05/2026

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