Provider Demographics
NPI:1164640124
Name:WHITE ROCK OBSTETRICS AND GYNECOLOGY ASSOCIATES
Entity Type:Organization
Organization Name:WHITE ROCK OBSTETRICS AND GYNECOLOGY ASSOCIATES
Other - Org Name:FRANCESCA PERUGINI, M.D.
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER OPERATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCESCA
Authorized Official - Middle Name:
Authorized Official - Last Name:PERUGINI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-345-8485
Mailing Address - Street 1:PO BOX 678149
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75267-8149
Mailing Address - Country:US
Mailing Address - Phone:214-345-8485
Mailing Address - Fax:214-345-8486
Practice Address - Street 1:8160 WALNUT HILL LANE
Practice Address - Street 2:SUITE 212
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4370
Practice Address - Country:US
Practice Address - Phone:214-345-8485
Practice Address - Fax:214-345-8486
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX174400000X
TXE03354174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX032039201Medicaid
TX032039201Medicaid
TX00Z902Medicare PIN