Centennial Ob Gyn, P.a.

NPI #1245781822 in Frisco, Texas

Provider Information

NPI Number: 1245781822
Entity Type: Organization
Organization Name: Centennial Ob Gyn, P.a.
Primary Specialty: Specialist
Enumeration Date: Oct 19, 2016
Last Updated: Oct 19, 2016

Practice Location

Address: 5757 WARREN PKWY
Address 2: SUITE 210
City: Frisco
State: Texas
ZIP Code: 75034-4274
Phone: (972) 731-6565

Authorized Official

Name: KAREN BAUSONE
Title: OFFICE MANAGER
Phone: (972) 731-6565

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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