# MILLENNIUM OB GYN OF TEXOMA PLLC

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

## Provider details

- **NPI number:** 1588322218
- **Authorized official:** EMILY RATTRAY (MANAGER)
- **Authorized official phone:** (855) 222-9637

## Contact information

- **Practice address:** 5016 S US HIGHWAY 75, DENISON, TX 75020-4584
- **Practice address phone:** (855) 222-9637
- **Mailing address:** PO BOX 20236, BEAUMONT, TX 77720-0236

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/30/2021
- **Last updated:** 07/21/2022