Provider Demographics
NPI:1962459578
Name:SOUTHWESTERN PERINATAL ASSOCIATES PA
Entity Type:Organization
Organization Name:SOUTHWESTERN PERINATAL ASSOCIATES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:J
Authorized Official - Last Name:ALBERT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-981-8889
Mailing Address - Street 1:6200 W PARKER RD
Mailing Address - Street 2:MOB1, SUITE 308
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-7939
Mailing Address - Country:US
Mailing Address - Phone:972-981-8889
Mailing Address - Fax:
Practice Address - Street 1:6200 W PARKER RD
Practice Address - Street 2:MOB1, SUITE 308
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-7939
Practice Address - Country:US
Practice Address - Phone:972-981-8889
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-28
Last Update Date:2012-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX177386301Medicaid
TX0019MYOtherBCBS
TX177386301Medicaid