# WOMENS LINK SPECIALTY OBSTETRICAL REFERRAL CLINIC PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265725261
- **Authorized official:** JACK GRAHAM MD (PARTNER)
- **Authorized official phone:** (972) 519-1212

## Contact information

- **Practice address:** 3901 W 15TH ST, PLANO, TX 75075-7738
- **Practice address phone:** (972) 519-1212
- **Practice address fax:** (972) 519-1248
- **Mailing address:** PO BOX 741669, ATLANTA, GA 30374-1669

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | NULL | Yes |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/24/2011
- **Last updated:** 02/03/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 286381301 | — | TX |