Provider Demographics
NPI:1033764170
Name:MATERNAL FETAL MEDICINE CONSULTANTS OF DALLAS PLLC
Entity Type:Organization
Organization Name:MATERNAL FETAL MEDICINE CONSULTANTS OF DALLAS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:GAY
Authorized Official - Last Name:GREER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-377-7252
Mailing Address - Street 1:8160 WALNUT HILL LN STE 324
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-4391
Mailing Address - Country:US
Mailing Address - Phone:214-377-7252
Mailing Address - Fax:888-761-4153
Practice Address - Street 1:8160 WALNUT HILL LN STE 324
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4391
Practice Address - Country:US
Practice Address - Phone:214-377-7252
Practice Address - Fax:888-761-4153
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-06
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal MedicineGroup - Single Specialty