| NPI | 1649222647 |
|---|---|
| Former Legal Business Name | OBSTETRICS & GYNECOLOGY PA |
| Doing Business As | DALLAS OBGYN PA |
| Entity Type | Organization |
| Authorized Contact | GRACE MOOKEN Dr 972-566-7009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2020-10-21 |