Organization
JOHN C. O'BRIEN, JR., MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN C. O'BRIEN JR. MD (PRESIDENT)
(214) 320-9163
Entity
Organization
Contact information
Practice address
8223 FOREST HILLS BLVD, DALLAS, TX 75218-4410
(214) 320-9163
(214) 320-9163
Mailing address
8223 FOREST HILLS BLVD, DALLAS, TX 75218-4410
(214) 320-9163
(214) 320-9163
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
D 6835
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134298-02
—
TX
Enumeration date
03/16/2012
Last updated
12/31/2012
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