Organization
OB ON CALL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAROLD KAYE (MANAGING PARTNER)
(214) 346-5337
Entity
Organization
Contact information
Practice address
8160 WALNUT HILL LN STE 104, DALLAS, TX 75231-0968
(214) 346-5337
Mailing address
8160 WALNUT HILL LN STE 104, DALLAS, TX 75231-0968
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D8003
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0032MY
BC BS
TX
01
—
10035832
AMERIGROUP
TX
Enumeration date
03/13/2007
Last updated
08/22/2020
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