Organization Name: | CHERIE H. O'BRIEN, M.D., P.A. |
NPI Number: | 1114141223 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID J O'BRIEN (PRACTICE MANAGER) |
Mailing Address: | 1600 W College St Suite 410 Grapevine |
State: | TX US |
Postal Code: | 760513580 |
Phone Number: | 8173294433 |
Fax Number: | 8173290190 |
NPI Enumeration Date: | 04/12/2007 |
NPI Last Update Date: | 12/05/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | K6664 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |