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Contact Information

EZELL S AUTREY, MD
7777 FOREST LANE
STE C512
DALLAS, TX75230-2545
 Phone: 972-566-6400
 Fax: 972-566-6769
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for EZELL S AUTREY · (Male)

NPI Number 1942217013
Status Active
Credentials MD
Entity Individual
Enumeration date 08/02/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • TX License # G1320
  • TX Medicaid P000HT034
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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