Organization Active NPI

Oakcliff OB-GYN Associates

  • Obstetrics & Gynecology Physician
  • Dallas, TX
National Provider Identifier
1891911582
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
OAKCLIFF OB-GYN ASSOCIATES
Practice address
3111 Sylvan Ave
Dallas, TX 75212-4028
Phone
(972) 780-8009
Fax
(972) 780-6115
NPI assigned
Apr 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Miss Stephanie Medina
Title
Billing Manager
Phone
(972) 780-8009

Specialties & licenses 1

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

Addresses

Primary practice location

3111 Sylvan Ave
Dallas, TX 75212-4028

Mailing address

1801 N Hampton Rd
Ste. 200
Desoto, TX 75115-2391
Phone (972) 780-8009

National Provider Directory

National Provider Directory

Locations

1801 N Hampton Rd
Ste 200
Desoto, TX 75115

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891911582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 N HAMPTON RD",
            "address_2": "STE. 200",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152391",
            "telephone_number": "972-780-8009",
            "fax_number": "972-780-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 SYLVAN AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752124028",
            "telephone_number": "972-780-8009",
            "fax_number": "972-780-6115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKCLIFF OB-GYN ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "972-780-8009",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Aug 22, 2020; 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.