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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. O'BRIEN, JR., MD, PA

NPI # 1104191667
LBN Legal business name JOHN C. O'BRIEN, JR., MD, PA
Authorized official JOHN O'BRIEN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/16/2012
Last updated 12/31/2012 - About 13 years ago
Identifiers
TX License # D 6835
TX Medicaid 1134298-02
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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