Organization
WOMEN'S MEDICAL ASSOCIATES OF NORTH TEXAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE W. RAJALA D.O. (PRESIDENT)
(972) 747-4848
Entity
Organization
Contact information
Practice address
1105 CENTRAL EXPY N, SUITE 310, ALLEN, TX 75013-6103
(972) 747-4848
(972) 747-4949
Mailing address
P.O. BOX 1510, MCKINNEY, TX 75069
(972) 747-4848
(972) 747-4949
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
H5352
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00T79Z
MEDICARE
TX
01
—
1356528806
NIP
—
Enumeration date
01/28/2008
Last updated
02/21/2008
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