Organization
ORIGIN FERTILITY PA
Active
Other names
Origin Fertility
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINDA ELKINS MD (OWNER)
(817) 907-2101
Entity
Organization
Contact information
Practice address
1643 LANCASTER DR STE 309, GRAPEVINE, TX 76051-3593
(817) 907-2101
(682) 339-6793
Mailing address
2600 E SOUTHLAKE BLVD STE 120-336, SOUTHLAKE, TX 76092-6634
(502) 619-1150
(682) 339-6793
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
—
—
Other
Enumeration date
12/02/2021
Last updated
12/02/2021
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