Organization
VERNON & WALDREP OB-GYN ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIM DAWSON VERNON M.D. (PRESIDENT)
(972) 566-4660
Entity
Organization
Contact information
Practice address
7777 FOREST LN, BLDG D-570, DALLAS, TX 75230-2505
(972) 566-4660
(972) 566-6413
Mailing address
7777 FOREST LN, BLDG D-570, DALLAS, TX 75230-2505
(972) 566-4660
(972) 566-6413
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
809549-03
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085504101
—
TX
Enumeration date
08/13/2006
Last updated
02/03/2014
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