Healthcare Provider Details

I. General information

NPI: 1982973269
Provider Name (Legal Business Name): AUSTIN OBGYN ASSOCIATES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2011
Last Update Date: 12/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2911 MEDICAL ARTS ST STE 3
AUSTIN TX
78705-3302
US

IV. Provider business mailing address

2911 MEDICAL ARTS ST STE 3
AUSTIN TX
78705-3302
US

V. Phone/Fax

Practice location:
  • Phone: 512-391-0175
  • Fax: 512-476-4078
Mailing address:
  • Phone: 512-391-0175
  • Fax: 512-476-4078

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License NumberK7752
License Number StateTX

VIII. Authorized Official

Name: DR. MELISSA GUZMAN WINN
Title or Position: PRESIDENT
Credential: MD
Phone: 512-391-0175