MEDICARE: S RENEE OBEY MD PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207VX0000X	Obstetrics Physician	L9404	TX

General Provider Information

NPI Number	:	1134348758
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	S RENEE OBEY MD PA

Provider Business Mailing Address
First Line	:	6300 W PARKER RD STE G22
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75093-8105
Country	:	US
Telephone Number	:	972-981-7870
Fax Number	:	972-981-7869

Provider Business Practice Location Address
First Line	:	6300 W PARKER RD STE G22
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75093-8105
Country	:	US
Telephone Number	:	972-981-7870
Fax Number	:	972-981-7869

Authorized Official
Title or Position	:	OWNERPRESIDENT
Name	:	DR. SHAWANDA RENEE OBEY
Credential	:	M.D.
Telephone Number	:	972-981-7870

Provider Enumeration Date	:	04/24/2007
Last Update Date	:	08/22/2020

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