Organization · Type 2 NPI

Glen Lakes Ob Gyn PA

Specialist · Allen, TX

NPI number 1124203229 Active

Practice location

997 Raintree Cir, Suite 170
Allen, TX 75013-4949

Call (214) 692-8660 Map

Fax (214) 692-8096

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XE6315 (TX)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1124203229

Glen Lakes Ob Gyn PA's National Provider Identifier is 1124203229, issued on Jan 8, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Allen, TX. The record was last updated on May 5, 2014.