Organization · NPI-2

Gwen A. Fields, M.D., P.A.

Physical Medicine & Rehabilitation · Rockwall, TX

NPI number1811067960
StatusActive
Last updated in NPPESApr 14, 2009

Details

NPI
1811067960
Entity type
Organization (NPI-2)
Legal business name
Gwen A. Fields, M.D., P.A.
Organization subpart
No
Enumeration date
Nov 8, 2006
Last updated
Apr 14, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208100000X Physical Medicine & Rehabilitation––Yes

Practice location

2931 Ridge Rd
Suite 115
Rockwall, TX 75032-6670

Phone 972-772-5400 · Fax 972-722-7303

Mailing address

Po Box 678413
Dallas, TX 75267-8413

Phone 972-772-5400 · Fax 972-722-7303

Authorized official

Gwen A. Fields
President
9727725400

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