Provider Demographics
NPI:1093395709
Name:PLACENTA ACCRETA SPECIALISTS OF NORTH TEXAS
Entity Type:Organization
Organization Name:PLACENTA ACCRETA SPECIALISTS OF NORTH TEXAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:COHEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-550-2172
Mailing Address - Street 1:12312 BRITTANY CIR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-2257
Mailing Address - Country:US
Mailing Address - Phone:214-550-2172
Mailing Address - Fax:469-212-0837
Practice Address - Street 1:12312 BRITTANY CIR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-2257
Practice Address - Country:US
Practice Address - Phone:214-550-2172
Practice Address - Fax:469-212-0837
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-08
Last Update Date:2021-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty