Organization
OBSTETRIX MEDICAL GROUP OF TEXAS BILLING, INC.
Active
Parent organization
PEDIATRIX MEDICAL SERVICES INC
Other names
Obstetrix Medical Group of Texas
Organization subpart
Yes
Provider details
NPI number
Legal business name
PEDIATRIX MEDICAL SERVICES INC
Authorized official
DR. MICHAEL D DWYER (ASSISTANT SECRETARY)
(954) 384-0175
Entity
Organization
Contact information
Practice address
3001 E PRESIDENT GEORGE BUSH HWY, SUITE 250, RICHARDSON, TX 75082-3542
(972) 437-5099
(972) 764-1661
Mailing address
1301 CONCORD TER, SUNRISE, FL 33323-2843
(954) 384-0175
(954) 851-1948
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00022K
MEDICARE
TX
01
—
00291Z
MEDICARE
TX
01
—
00454R
MEDICARE
TX
05
—
079584101
—
TX
05
—
100726580A
—
TX
05
—
100726620A
—
TX
05
—
177389701
—
TX
05
—
31438750
—
TX
01
—
7029142
AETNA
TX
01
—
76015A001
TRICARE
TX
01
—
76104A001
TRICARE
TX
01
—
79601B001
TRICARE
TX
05
—
81106343
—
TX
Enumeration date
07/26/2006
Last updated
04/07/2025
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