Healthcare Provider Details

I. General information

NPI: 1962459578
Provider Name (Legal Business Name): SOUTHWESTERN PERINATAL ASSOCIATES PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2006
Last Update Date: 10/25/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6200 W PARKER RD MOB1, SUITE 308
PLANO TX
75093-7939
US

IV. Provider business mailing address

6200 W PARKER RD MOB1, SUITE 308
PLANO TX
75093-7939
US

V. Phone/Fax

Practice location:
  • Phone: 972-981-8889
  • Fax:
Mailing address:
  • Phone: 972-981-8889
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. THOMAS J ALBERT
Title or Position: OWNER
Credential: MD
Phone: 972-981-8889