Healthcare Provider Details

I. General information

NPI: 1386388155
Provider Name (Legal Business Name): HIGH RISK PREGNANCY DOCTORS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/26/2022
Last Update Date: 05/18/2022
Certification Date: 05/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

641 S BROADWAY AVE STE 2
TYLER TX
75701-1681
US

IV. Provider business mailing address

13052 DALLAS PKWY STE 230
FRISCO TX
75033-4241
US

V. Phone/Fax

Practice location:
  • Phone: 903-630-4700
  • Fax: 877-862-5660
Mailing address:
  • Phone: 972-668-2229
  • Fax: 877-862-5660

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: VIOLETTA LOZOVYY
Title or Position: PRACTICE OWNER
Credential: MD
Phone: 214-600-5015