| NPI | 1578049052 |
|---|---|
| Doing Business As | CCRM DALLAS-FORT WORTH |
| Entity Type | Organization |
| Authorized Contact | DORETTE NOORHASAN Manager 972-377-2625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology |
| Additional Taxonomies | 261QA0006X Clinic/Center, Ambulatory Fertility Facility |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2018-07-17 |