# OBSTETRIX MEDICAL GROUP OF TEXAS BILLING, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PEDIATRIX MEDICAL SERVICES INC
- **Other names:** Obstetrix Medical Group of Texas
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1568486264
- **Legal business name:** PEDIATRIX MEDICAL SERVICES INC
- **Authorized official:** DR. MICHAEL D DWYER (ASSISTANT SECRETARY)
- **Authorized official phone:** (954) 384-0175

## Contact information

- **Practice address:** 3001 E PRESIDENT GEORGE BUSH HWY, SUITE 250, RICHARDSON, TX 75082-3542
- **Practice address phone:** (972) 437-5099
- **Practice address fax:** (972) 764-1661
- **Mailing address:** 1301 CONCORD TER, SUNRISE, FL 33323-2843
- **Mailing address phone:** (954) 384-0175
- **Mailing address fax:** (954) 851-1948

## Taxonomy

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

## Other

- **Enumeration date:** 07/26/2006
- **Last updated:** 04/07/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00022K | BCBS | TX |
| 01 | — | 00291Z | MEDICARE | TX |
| 01 | — | 00454R | MEDICARE | TX |
| 05 | — | 079584101 | — | TX |
| 05 | — | 100726580A | — | TX |
| 05 | — | 100726620A | — | TX |
| 05 | — | 177389701 | — | TX |
| 05 | — | 31438750 | — | TX |
| 01 | — | 7029142 | AETNA | TX |
| 01 | — | 76015A001 | TRICARE | TX |
| 01 | — | 76104A001 | TRICARE | TX |
| 01 | — | 79601B001 | TRICARE | TX |
| 05 | — | 81106343 | — | TX |