Dallas-Fort Worth Fertility Associates, P.A.
Clinic/Center, Medical Specialty in Dallas, TX. Organization (NPI-2).
NPI number1982808218
StatusActive
Last updated in NPPESJul 24, 2012
Details
- NPI
- 1982808218
- Entity type
- Organization (NPI-2)
- Legal business name
- Dallas-Fort Worth Fertility Associates, P.A.
- Organization subpart
- No
- Enumeration date
- Jun 12, 2007
- Last updated
- Jul 24, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM2500X | Clinic/Center, Medical Specialty | – | – | Yes |
Other names
- Dfw Fertility Associates (Doing Business As)
Practice location
5477 Glen Lakes DrSuite 200
Dallas, TX 75231-0946
Phone 214-363-5965 · Fax 214-363-0639
Mailing address
5477 Glen Lakes DrSuite 200
Dallas, TX 75231-0946
Phone 214-363-5965 · Fax 214-363-0639
Authorized official
Samuel John Chantilis
President
2143635965
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