Organization
WOMENS LINK SPECIALTY OBSTETRICAL REFERRAL CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK GRAHAM MD (PARTNER)
(972) 519-1212
Entity
Organization
Contact information
Practice address
3901 W 15TH ST, PLANO, TX 75075-7738
(972) 519-1212
(972) 519-1248
Mailing address
PO BOX 741669, ATLANTA, GA 30374-1669
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286381301
—
TX
Enumeration date
05/24/2011
Last updated
02/03/2012
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