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Organization
WOMENS LINK SPECIALTY OBSTETRICAL REFERRAL CLINIC PLLC
Active
Organization
WOMENS LINK SPECIALTY OBSTETRICAL REFERRAL CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK GRAHAM MD (PARTNER)
(972) 519-1212
Entity
Organization
Contact information
Practice address
3901 W 15TH ST, PLANO, TX 75075-7738
(972) 519-1212
(972) 519-1248
Mailing address
PO BOX 741669, ATLANTA, GA 30374-1669
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
NULL
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286381301
—
TX
Enumeration date
05/24/2011
Last updated
02/03/2012
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