MEDICARE: OB GYN CARE

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	174400000X	Specialist	193400000X	TX

General Provider Information

NPI Number	:	1669879326
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OB GYN CARE

Provider Business Mailing Address
First Line	:	2010 NORTH LOOP W
Second Line	:	SUITE 260
City	:	HOUSTON
State	:	TX
Zip	:	77018-8125
Country	:	US
Telephone Number	:	713-697-8555
Fax Number	:	713-697-8551

Provider Business Practice Location Address
First Line	:	1415 NORTH LOOP W STE 124
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77008-1653
Country	:	US
Telephone Number	:	832-304-2007
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. SHORON A SMITH
Credential	:	M.D
Telephone Number	:	713-697-8555

Provider Enumeration Date	:	11/24/2014
Last Update Date	:	11/24/2014

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Directions to “OB GYN CARE ” Practice Location

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