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Organization
P CREIGHTON HOBAR MD PA
Active
Organization
P CREIGHTON HOBAR MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
P CREIGHTON HOBAR M.D. (PRESIDENT)
(214) 823-8423
Entity
Organization
Contact information
Practice address
9101 N CENTRAL EXPY, SUITE 600, DALLAS, TX 75231-5956
(214) 823-8423
(214) 887-1897
Mailing address
9101 N CENTRAL EXPY, SUITE 600, DALLAS, TX 75231-5956
(214) 823-8423
(214) 887-1897
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
G2992
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0050LY
BLUE CROSS BLUE SHIELD
TX
01
—
G2992
MEDICAL LICENSE
TX
Enumeration date
02/19/2007
Last updated
07/24/2008
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