Healthcare Provider Details

I. General information

NPI: 1073012407
Provider Name (Legal Business Name): EH FERTILITY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2018
Last Update Date: 02/06/2024
Certification Date: 02/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7515 GREENVILLE AVE STE 1030
DALLAS TX
75231-3866
US

IV. Provider business mailing address

16970 DALLAS PKWY STE 500
DALLAS TX
75248-1983
US

V. Phone/Fax

Practice location:
  • Phone: 214-224-0778
  • Fax: 214-224-0779
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JULIAN ESCOBAR
Title or Position: MANAGING MEMBER
Credential: MD
Phone: 972-248-9550