MEDICARE: NORTH TEXAS PERINATAL ASSOCIATES, P.A.

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	207VM0101X	Maternal & Fetal Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265414932
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH TEXAS PERINATAL ASSOCIATES, P.A.

Provider Business Mailing Address
First Line	:	PO BOX 3425
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46206-3425
Country	:	US
Telephone Number	:	866-773-1256
Fax Number	:	855-826-2531

Provider Business Practice Location Address
First Line	:	6750 N MACARTHUR BLVD
Second Line	:	#160
City	:	IRVING
State	:	TX
Zip	:	75039-2875
Country	:	US
Telephone Number	:	866-773-1256
Fax Number	:	855-826-2531

Authorized Official
Title or Position	:	OFFICER
Name	:	KAREN MARIE VAUGHN
Credential	:
Telephone Number	:	404-450-4684

Provider Enumeration Date	:	11/17/2005
Last Update Date	:	08/27/2024

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Directions to “NORTH TEXAS PERINATAL ASSOCIATES, P.A. ” Practice Location

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