Organization · Type 2 NPI

Glen Lakes Ob Gyn PA

Obstetrics & Gynecology Physician · Dallas, TX

NPI number 1821348558 Active

About NPI 1821348558

Glen Lakes Ob Gyn PA's National Provider Identifier is 1821348558, issued on Sep 10, 2012. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Dallas, TX. The record was last updated on Sep 10, 2012.