Provider Demographics
NPI:1386388155
Name:HIGH RISK PREGNANCY DOCTORS, PLLC
Entity type:Organization
Organization Name:HIGH RISK PREGNANCY DOCTORS, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRACTICE OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VIOLETTA
Authorized Official - Middle Name:
Authorized Official - Last Name:LOZOVYY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-600-5015
Mailing Address - Street 1:13052 DALLAS PKWY STE 230
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75033-4241
Mailing Address - Country:US
Mailing Address - Phone:972-668-2229
Mailing Address - Fax:877-862-5660
Practice Address - Street 1:641 S BROADWAY AVE STE 2
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75701-1681
Practice Address - Country:US
Practice Address - Phone:903-630-4700
Practice Address - Fax:877-862-5660
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HIGH RISK PREGNANCY DOCTORS, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-04-26
Last Update Date:2022-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal MedicineGroup - Single Specialty