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NPI Code Detail

MEDICARE: OBSTETRICAL AND GYNECOLOGICAL ASSOCIATES

MEDICARE: OBSTETRICAL AND GYNECOLOGICAL ASSOCIATES
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
1207V00000XObstetrics & Gynecology PhysicianD9508TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2CN9938OTHERTXRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10044CGOTHERTXBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1558530873
Entity Type Code : Organization
Provider Name (Legal Business Name) : OBSTETRICAL AND GYNECOLOGICAL ASSOCIATES
Provider Business Mailing Address
First Line : PO BOX 4048
Second Line :
City : HOUSTON
State : TX
Zip : 77210-4048
Country : US
Telephone Number : 713-512-7000
Fax Number : 713-512-7561
Provider Business Practice Location Address
First Line : 7915 FM 1960 RD W
Second Line : SUITE 210
City : HOUSTON
State : TX
Zip : 77070-5716
Country : US
Telephone Number : 713-512-7000
Fax Number : 713-512-7561
Authorized Official
Title or Position : CEO
Name : ROBERT L BAKER
Credential :
Telephone Number : 713-512-7000
Provider Enumeration Date : 02/21/2008
Last Update Date : 02/21/2008

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Directions to “OBSTETRICAL AND GYNECOLOGICAL ASSOCIATES ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.