Dr. Eileen M. O'brien-su
M.D. | Pediatrics | Female
Dr. Eileen M. O'brien-su, M.D. is a Southlake, Texas based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Eileen M. O'brien-su is
731 E Southlake Blvd, Suite 100, Southlake, Texas - 76092-6377. She can be contacted on phone at
817-912-8800 and fax number 817-912-8810.
Dr. Eileen M. O'brien-su is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Eileen M. O'brien-su is
1790799344 which was assigned by NPPES on 28 Jul, 2006 and it was last updated on 11 Jun, 2015.
Dr. Eileen M. O'brien-su license number is
J3363 for Pediatrics (208000000X) in Texas.
Dr. Eileen M. O'brien-su is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Eileen M. O'brien-su basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Eileen M. O'brien-su |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Dr. Eileen M. O'brien-su address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 731 E Southlake Blvd, Suite 100
Southlake, TX, 76092-6377
United States |
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| Phone Number : | 817-912-8800 |
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| Fax Number : | 817-912-8810 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1790799344 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 28 Jul, 2006 |
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| Last Updated On : | 11 Jun, 2015 |
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Medicare Participation:
Dr. Eileen M. O'brien-su participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 3577690460 |
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| Medicare Enrollment ID : | I20100426000062 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | Other |
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| Graduation Year : | 1991 |
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| Accepts Medicare? | Yes. Dr. Eileen M. O'brien-su accepts medicare insurance. |
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Group Practice Association:
Dr. Eileen M. O'brien-su is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Eileen M. O'brien-su is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Healthtexas Provider Network | 1355254210 | 1710 | 4001 Worth St
Dallas, TX - 752461608 | Yes |
| Healthtexas Provider Network | 1355254210 | 1710 | 5408 Colleyville Blvd
Colleyville, TX - 760345833
Ph: 8174989920 | Yes |
| Healthtexas Provider Network | 1355254210 | 1710 | 731 E Southlake Blvd
Suite 100
Southlake, TX - 760926378
Ph: 8174243366 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Eileen M. O'brien-su are as mentioned. Primary taxonomy code for Dr. Eileen M. O'brien-su, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 207R00000X | Internal Medicine | No | J3363 | TX |
| 208000000X | Pediatrics | Yes | J3363 | TX |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Eileen M. O'brien-su such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 8B5306 | Other | TX | BCBS |
| 158265201 | MEDICAID | TX | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 731 E Southlake Blvd, Suite 100
Southlake, TX, 76092-6377
United States |
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| Phone Number : | 817-912-8800 |
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| Fax Number : | 817-912-8810 |
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Business Location:
Patients can refer following map for directions to
Dr. Eileen M. O'brien-su practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.