Provider Demographics
NPI:1902221658
Name:DALLAS FORT WORTH CENTER FOR FERTILITY AND IVF PLLC
Entity Type:Organization
Organization Name:DALLAS FORT WORTH CENTER FOR FERTILITY AND IVF PLLC
Other - Org Name:DFW CENTER FOR FERTILITY AND IVF
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:EMANNUEL
Authorized Official - Last Name:BESHAY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-755-9010
Mailing Address - Street 1:980 RAINTREE CIRCLE
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013
Mailing Address - Country:US
Mailing Address - Phone:972-755-9010
Mailing Address - Fax:
Practice Address - Street 1:980 RAINTREE CIRCLE
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013
Practice Address - Country:US
Practice Address - Phone:972-755-9010
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-04
Last Update Date:2014-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM0662261QA0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0006XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Fertility Facility