MEDICARE: PLANNED PRENTHOOD OF NORTH TEXAS, INC.

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	261QF0050X	Non-Surgical Family Planning Clinic/Center

General Provider Information

NPI Number	:	1366495210
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PLANNED PRENTHOOD OF NORTH TEXAS, INC.

Provider Business Mailing Address
First Line	:	7424 GREENVILLE AVE
Second Line	:	STE 206
City	:	DALLAS
State	:	TX
Zip	:	75231-4552
Country	:	US
Telephone Number	:	214-363-2004
Fax Number	:	214-696-2091

Provider Business Practice Location Address
First Line	:	7424 GREENVILLE AVE
Second Line	:	STE 206
City	:	DALLAS
State	:	TX
Zip	:	75231-4552
Country	:	US
Telephone Number	:	214-363-2004
Fax Number	:	214-696-2091

Authorized Official
Title or Position	:	CHIEF OPERATING OFFICER
Name	:	LYNN R MARRABLE
Credential	:
Telephone Number	:	214-363-2004

Provider Enumeration Date	:	05/19/2006
Last Update Date	:	08/22/2020

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Directions to “PLANNED PRENTHOOD OF NORTH TEXAS, INC. ” Practice Location

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