MEDICARE: OBGYN CARE PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	G8196	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0045DU	OTHER	TX	BLUE CROSS BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033142534
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OBGYN CARE PA

Provider Business Mailing Address
First Line	:	2010 NORTH LOOP WEST
Second Line	:	SUITE 260
City	:	HOUSTON
State	:	TX
Zip	:	77018
Country	:	US
Telephone Number	:	713-697-8555
Fax Number	:	713-697-8551

Provider Business Practice Location Address
First Line	:	2010 NORTH LOOP WEST
Second Line	:	SUITE 260
City	:	HOUSTON
State	:	TX
Zip	:	77018
Country	:	US
Telephone Number	:	713-697-8555
Fax Number	:	713-697-8551

Authorized Official
Title or Position	:	OWNER
Name	:	MS. SHARON ALTHEA SMITH
Credential	:	M.D.
Telephone Number	:	713-697-8555

Provider Enumeration Date	:	07/08/2006
Last Update Date	:	10/21/2021

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Directions to “OBGYN CARE PA ” Practice Location

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