Dr. Reagan Michelle Street
Obstetrician & Gynecologist Gynecologic Oncologist
1001 12th Ave Suite 200
Fort Worth
, Texas 76104-3926
Dr. Reagan Michelle Street
Obstetrician & Gynecologist Gynecologic Oncologist
1001 12th Ave Suite 200
Fort Worth
, Texas 76104-3926
(972) 234-2987
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About
Features
Specialties
- Obstetrician & Gynecologist
- Gynecologic Oncologist
Languages spoken
- English
Location
First Address
- Dr. Reagan Michelle Street
- Po Box 911230
- Dallas, TX
- Zip : 75391-1230
- Fax : (972) 234-2987
- Phone : (972) 997-8000
Second Address
- Dr. Reagan Michelle Street
- 1001 12th Ave Suite 200
- Fort Worth, TX
- Zip : 76104-3926
- Fax : (817) 850-2015
- Phone : (817) 850-2000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207V00000X | Obstetrician & Gynecologist | N-3333 | TX |
| Y | 207VX0201X | Gynecologic Oncologist | N3333 | TX |
National Provider Identifier
| NPI | 1487845673 |
|---|---|
| Provider Name | Dr. Reagan Michelle Street |
| First Address | Dallas, TX 75391-1230 |
| Second Address | Fort Worth, TX 76104-3926 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/08/2007 |
| Last Update Date | 03/10/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 204651802 | (05) | TX |
| 2766284705 | MYUTMB 2766284705 (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.