Provider Demographics
NPI:1740541424
Name:PLANNED PARENTHOOD OF GREATERTEXAS INC - ADDISON
Entity type:Organization
Organization Name:PLANNED PARENTHOOD OF GREATERTEXAS INC - ADDISON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEALTH SERVICES & OPERATIONS SUPPOR
Authorized Official - Prefix:
Authorized Official - First Name:RENEE'
Authorized Official - Middle Name:
Authorized Official - Last Name:TOWNSEND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-254-3015
Mailing Address - Street 1:7424 GREENVILLE AVE
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-4552
Mailing Address - Country:US
Mailing Address - Phone:214-363-2004
Mailing Address - Fax:214-373-7483
Practice Address - Street 1:4551 BELTWAY DR
Practice Address - Street 2:
Practice Address - City:ADDISON
Practice Address - State:TX
Practice Address - Zip Code:75001-3708
Practice Address - Country:US
Practice Address - Phone:972-991-1424
Practice Address - Fax:972-991-1475
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PLANNED PARENTHOOD OF GREATER TEXAS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-05-30
Last Update Date:2023-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0050XAmbulatory Health Care FacilitiesClinic/CenterFamily Planning, Non-Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX136481211Medicaid