Organization
MATERNAL FETAL MEDICINE & GENETICS ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN M JIMENEZ-OLIVA M.D. (PRESIDENT)
(214) 368-2543
Entity
Organization
Contact information
Practice address
8160 WALNUT HILL LN, SUITE 216, DALLAS, TX 75231-4339
(214) 368-2543
(214) 373-8946
Mailing address
8160 WALNUT HILL LN, SUITE 216, DALLAS, TX 75231-4339
(214) 368-2543
(214) 373-8946
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
D9513
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
034799901
—
TX
01
—
8A7830
BLUE CROSS, BLUE SHIELD
TX
Enumeration date
07/29/2006
Last updated
08/15/2008
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