Organization Active NPI

Phases of Life Womens Health Care, PA

  • Obstetrics & Gynecology Physician
  • Dallas, TX
National Provider Identifier
1033307368
Registry record updated Feb 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
G0736 Issued in TX
Legal business name
PHASES OF LIFE WOMENS HEALTH CARE, PA
Practice address
7999 West Virginia
Suite a
Dallas, TX 75237-2041
Phone
(972) 296-4777
Fax
(972) 296-5499
NPI assigned
Oct 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Raj Kakarla, MD
Title
MD
Phone
(972) 296-4777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X G0736 TX Primary

Addresses

Primary practice location

7999 West Virginia
Suite a
Dallas, TX 75237-2041

Mailing address

7999 West Virginia Dr
Suite a
Dallas, TX 75237-2041
Phone (972) 296-4777

Other identifiers 1

IdentifierTypeStateIssuer
0362279-02MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266537600000",
    "number": "1033307368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7999 WEST VIRGINIA DR",
            "address_2": "SUITE A",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752372041",
            "telephone_number": "972-296-4777",
            "fax_number": "972-296-5499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7999 WEST VIRGINIA",
            "address_2": "SUITE A",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752372041",
            "telephone_number": "972-296-4777",
            "fax_number": "972-296-5499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHASES OF LIFE WOMENS HEALTH CARE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-11",
        "last_updated": "2010-02-19",
        "status": "A",
        "authorized_official_last_name": "KAKARLA",
        "authorized_official_first_name": "RAJ",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "972-296-4777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "G0736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0362279-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.