Healthcare Provider Details

I. General information

NPI: 1437559564
Provider Name (Legal Business Name): PLANO FERTILITY CENTER, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2014
Last Update Date: 08/26/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2840 LEGACY DR SUITE 100
FRISCO TX
75034-6049
US

IV. Provider business mailing address

3000 COMMUNICATIONS PKWY STE 200
PLANO TX
75093-8901
US

V. Phone/Fax

Practice location:
  • Phone: 214-297-0020
  • Fax:
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: MRS. CALLIE HALL
Title or Position: PRACTICE ADMINISTRATOR
Credential:
Phone: 214-297-0020