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Contact Information

JOHN C. O'BRIEN, JR., MD, PA
8223 FOREST HILLS BLVD
DALLAS, TX75218-4410
 Phone: 214-320-9163
 Fax: 214-320-9163
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical Oncology

2086X0206X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JOHN C OBRIEN JR MD PA · (Female)

NPI Number 1104191667
Status Active
Credentials
Entity Individual
Enumeration date 03/16/2012
Last updated 12/31/2012 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • TX License # D 6835
  • TX Medicaid 1134298-02
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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