Organization
OBSTETRICS & GYNECOLOGY PA
Active
Other names
Obstetrics & Gynecology PA, Dallas OBGYN PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRACE MOOKEN MD (DR)
(972) 566-7009
Entity
Organization
Contact information
Practice address
7777 FOREST LN STE D550, DALLAS, TX 75230-2557
(972) 566-7009
(972) 566-6289
Mailing address
7777 FOREST LN STE D550, DALLAS, TX 75230-2557
(972) 566-7009
(972) 566-6289
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8HF612
ALL PLANS WITH ACCESS
TX
Enumeration date
05/17/2006
Last updated
10/21/2020
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