Organization · Type 2 NPI

Obstetrics & Gynecology PA

Specialist · Dallas, TX

NPI number 1649222647 Active

Practice location

7777 Forest Ln Ste D550
Dallas, TX 75230-2557

Fax (972) 566-6289

Specialties and licenses

Taxonomy	Code	License
Specialist Primary	174400000X	None listed

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.

Another provider at this address

Rebecca Pedersen, MDObstetrics & Gynecology Physician Dallas, TX NPI 1023505708

Other specialist providers in Dallas

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NPI record

NPI: 1649222647
Entity type: Organization (Type 2)
Issued: May 17, 2006
Last updated: Oct 21, 2020
Status: Active

Other names

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Dallas Obgyn PA · doing business as
Obstetrics & Gynecology PA · former legal business name
Obstetrics & Gynecology PA · former legal business name

Authorized official

Dr. Grace Mooken, MD
DR
(972) 566-7009

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1649222647

Obstetrics & Gynecology PA's National Provider Identifier is 1649222647, issued on May 17, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Dallas, TX. The record was last updated on Oct 21, 2020.