Healthcare Provider Details

I. General information

NPI: 1487764908
Provider Name (Legal Business Name): NORTHEAST OB/GYN ASSOCIATES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 03/04/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8715 VILLAGE DR SUITE 410
SAN ANTONIO TX
78217-5405
US

IV. Provider business mailing address

1210 ARION PKWY
SAN ANTONIO TX
78216-2880
US

V. Phone/Fax

Practice location:
  • Phone: 210-590-6195
  • Fax: 210-650-5975
Mailing address:
  • Phone: 210-590-6195
  • Fax: 210-650-5975

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. BRUCE D. AKRIGHT
Title or Position: PRESIDENT
Credential: M.D.
Phone: 210-650-9978