Healthcare Provider Details

I. General information

NPI: 1548242803
Provider Name (Legal Business Name): DENTON OBSTETRICS AND GYNECOLOGY PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2005
Last Update Date: 12/19/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

209 N BONNIE BRAE ST STE 304
DENTON TX
76201-3748
US

IV. Provider business mailing address

2501 SCRIPTURE STE 200
DENTON TX
76201
US

V. Phone/Fax

Practice location:
  • Phone: 940-503-3601
  • Fax: 940-503-3602
Mailing address:
  • Phone: 940-591-6600
  • Fax: 817-569-1673

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. CHRISTINA ANN DOOLEY
Title or Position: OWNER
Credential: MD
Phone: 940-503-3601