Organization Name: | OB-GYN PLACE, A PROFESSIONAL ASSOCIATION |
NPI Number: | 1386722833 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEWELL E. MALICK (PRESIDENT) |
Mailing Address: | 901 Rockwall Pkwy Rockwall |
State: | TX US |
Postal Code: | 750326502 |
Phone Number: | 9727723234 |
Fax Number: | 9727723834 |
NPI Enumeration Date: | 11/01/2006 |
NPI Last Update Date: | 10/11/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |