Unknown Individual – Maternal & Fetal Medicine Physician, NPI 1104880087
Maternal & Fetal Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
PO BOX 733784
DALLAS, TX 753733784
Phone: (682) 885-1860
Fax: (682) 885-1396
Type: Mailing
1325 Pennsylvania Ave
suite 600
Fort Worth, TX 761042158
Phone: (817) 878-5298
Fax: (817) 878-5289
Type: Location
1665 Antilley Rd Ste 250
Abilene, TX 796065249
Phone: (325) 793-5171
Fax: (325) 793-5172
Type: Location
801 7th Ave
Fort Worth, TX 761042733
Phone: (682) 885-4000
Type: Location
Antilley Road, Abilene, Taylor County, Texas, 79606, United States
ABILENE, TX 79606
Phone: (325) 793-5171
Fax: (325) 793-5172
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 75373)
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