Organization
CENTENNIAL OB GYN, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN BAUSONE (OFFICE MANAGER)
(972) 731-6565
Entity
Organization
Contact information
Practice address
5757 WARREN PKWY, SUITE 210, FRISCO, TX 75034-4274
(972) 731-6565
(972) 731-6570
Mailing address
5757 WARREN PARKWAY, SUITE 210, FRISCO, TX 75034-4777
(972) 731-6565
(972) 731-6570
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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