Active NPI
Julie Pao MD PA
- Obstetrics & Gynecology Physician
- Dallas, TX
National Provider Identifier
1497911291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- H3595
- Legal business name
- JULIE PAO MD PA
- Practice address
- 12200 Park Central Dr
Ste 403
Dallas, TX 75251-2100 - Phone
- (972) 774-9990
- NPI assigned
- Jul 31, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeanie M Dillard
- Title
- Manager
- Phone
- (214) 369-8555
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | H3595 | TX | Primary |
| Gynecology Physician | 207VG0400X | H3595 | TX | |
| Maternal & Fetal Medicine Physician | 207VM0101X | H3595 | TX | |
| Obstetrics Physician | 207VX0000X | H3595 | TX |
Addresses
Primary practice location
12200 Park Central Dr
Ste 403
Dallas, TX 75251-2100
Mailing address
PO Box 660046
Dallas, TX 75266-0046
Phone (214) 369-8555
National Provider Directory
National Provider DirectoryLocations
12200 Park Central Dr
Ste 415
Dallas, TX 75251
Phone (469) 587-8480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217462400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1230508800000",
"number": "1497911291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 660046",
"city": "DALLAS",
"state": "TX",
"postal_code": "752660046",
"telephone_number": "214-369-8555",
"fax_number": "214-369-2683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12200 PARK CENTRAL DR",
"address_2": "STE 403",
"city": "DALLAS",
"state": "TX",
"postal_code": "752512100",
"telephone_number": "972-774-9990"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JULIE PAO MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-31",
"last_updated": "2008-12-29",
"status": "A",
"authorized_official_last_name": "DILLARD",
"authorized_official_first_name": "JEANIE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "214-369-8555"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "TX",
"license": "H3595",
"primary": true
},
{
"code": "207VG0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "TX",
"license": "H3595",
"primary": false
},
{
"code": "207VM0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "TX",
"license": "H3595",
"primary": false
},
{
"code": "207VX0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "TX",
"license": "H3595",
"primary": false
}
],
"identifiers": [],
"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 Dec 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.