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NPI Code Detail

MEDICARE: NORTH TEXAS PERINATAL ASSOCIATES, P.A.

MEDICARE: NORTH TEXAS PERINATAL ASSOCIATES, P.A.
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
1207VM0101XMaternal & Fetal Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1508840885
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTH TEXAS PERINATAL ASSOCIATES, P.A.
Provider Business Mailing Address
First Line : PO BOX 3425
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46206-3425
Country : US
Telephone Number : 866-773-1256
Fax Number : 855-826-2531
Provider Business Practice Location Address
First Line : 3901 W 15TH ST
Second Line : #200
City : PLANO
State : TX
Zip : 75075-7738
Country : US
Telephone Number : 866-773-1256
Fax Number : 855-826-2531
Authorized Official
Title or Position : OFFICER
Name : KAREN MARIE VAUGHN
Credential :
Telephone Number : 404-450-4684
Provider Enumeration Date : 12/01/2005
Last Update Date : 08/27/2024

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