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Dr. Reagan Michelle Street, MD
Gynecologic Oncology Physician in Fort Worth, Texas
NPI 1487845673

Reagan Michelle Street is a Gynecologic Oncology Physician based in Dallas, TX and is specialized in Gynecologic Oncology. Reagan Michelle Street practices in Fort Worth, TX and has the professional credentials of MD. The NPI Number for Reagan Michelle Street is 1487845673 and holds a License No. N-3333 (Texas).

The current practice location address for Reagan Michelle Street is 1001 12Th Ave, Fort Worth, TX and can be reached out via phone at 817-850-2000 and via fax at 817-850-2015. You can also correspond with Reagan Michelle Street through the mailing address at PO BOX 911230, DALLAS, TX - 75391-1230 (mailing address contact number: 972-997-8000).

Location: 1001 12Th Ave, Fort Worth, TX, 75391-1230
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487845673
Provider Name
Reagan Michelle Street
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1001 12Th Ave, Fort Worth, TX, 75391-1230
Phone Number
817-850-2000
Fax Number
817-850-2015
Provider Enumeration Date
08/05/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
204651802 05 TX
2766284705 01 MYUTMB 2766284705
institution
Provider Business Practice Location Address Details
Address
1001 12Th Ave
City
Fort Worth
State
Texas
Zip
76104-3926
Phone Number
817-850-2000
Fax Number
817-850-2015
person
Provider Business Mailing Address Details
Address
1001 12Th Ave
City
Fort Worth
State
Texas
Zip
76104-3926
Phone Number
817-850-2000
Fax Number
817-850-2015
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
N3333 (Texas)
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.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecologic Oncology
Taxonomy
207VX0201X
License No.
N-3333 (Texas)
Definition
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
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