Organization
CENTENNIAL OB GYN PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN KAY BAUSONE (PRACTICE MANAGER)
(972) 731-6565
Entity
Organization
Contact information
Practice address
5757 WARREN PKWY, SUITE 210, FRISCO, TX 75034-4274
(972) 731-6565
(972) 731-6570
Mailing address
5757 WARREN PKWY, SUITE 210, FRISCO, TX 75034-4274
(972) 731-6565
(972) 731-6570
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
11/23/2005
Last updated
10/05/2016
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