MEDICARE: NORTH TEXAS PERINATAL ASSOCIATES 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	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	:	1639153851
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH TEXAS PERINATAL ASSOCIATES PA

Provider Business Mailing Address
First Line	:	1700 COIT RD
Second Line	:	SUITE 290
City	:	PLANO
State	:	TX
Zip	:	75075-6185
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6130 W PARKER RD
Second Line	:	SUITE 302
City	:	PLANO
State	:	TX
Zip	:	75093-7939
Country	:	US
Telephone Number	:	972-473-6216
Fax Number	:

Authorized Official
Title or Position	:	SENIOR VICE PRESIDENT
Name	:	GILBERT DROZDOW
Credential	:	M.D
Telephone Number	:	954-838-2371

Provider Enumeration Date	:	12/01/2005
Last Update Date	:	09/19/2019

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