Healthcare Provider Details

I. General information

NPI: 1881676906
Provider Name (Legal Business Name): NORTH TEXAS PERINATAL ASSOCIATES, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2005
Last Update Date: 08/27/2024
Certification Date: 08/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12505 LEBANON RD
FRISCO TX
75035-8298
US

IV. Provider business mailing address

PO BOX 3425
INDIANAPOLIS IN
46206-3425
US

V. Phone/Fax

Practice location:
  • Phone: 866-773-1256
  • Fax: 855-826-2531
Mailing address:
  • Phone: 866-773-1256
  • Fax: 855-826-2531

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: KAREN MARIE VAUGHN
Title or Position: OFFICER
Credential:
Phone: 404-450-4684