Individual provider · Type 1 NPI

Reagan Michelle Street, MD

Gynecologic Oncology Physician · Fort Worth, TX

NPI number 1487845673 Active

Practice location

1001 12th Ave, Suite 200
Fort Worth, TX 76104-3926

Call (817) 850-2000 Map

Fax (817) 850-2015

Mailing address

PO Box 911230
Dallas, TX 75391-1230

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Physician 207V00000XN-3333 (TX)
Gynecologic Oncology Physician Primary 207VX0201XN3333 (TX)

Gynecologic Oncology Physician: An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.

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About NPI 1487845673

Reagan Michelle Street, MD's National Provider Identifier is 1487845673, issued on Aug 5, 2007. The primary taxonomy on file is Gynecologic Oncology Physician (207VX0201X), and the practice location is in Fort Worth, TX. The record was last updated on Oct 3, 2012.