MEDICARE: CENTRAL TEXAS OB/GYN ASSOCIATES, PLLC

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	103TC0700X	Clinical Psychologist
2	207V00000X	Obstetrics & Gynecology Physician

General Provider Information

NPI Number	:	1710293824
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTRAL TEXAS OB/GYN ASSOCIATES, PLLC

Provider Business Mailing Address
First Line	:	7718 WOOD HOLLOW DR
Second Line	:	SUITE 103
City	:	AUSTIN
State	:	TX
Zip	:	78731-1648
Country	:	US
Telephone Number	:	512-279-6701
Fax Number	:	512-279-6750

Provider Business Practice Location Address
First Line	:	7718 WOOD HOLLOW DR
Second Line	:	SUITE 103
City	:	AUSTIN
State	:	TX
Zip	:	78731-1648
Country	:	US
Telephone Number	:	512-279-6701
Fax Number	:	512-279-6750

Authorized Official
Title or Position	:	PRESIDENT
Name	:	PAUL B. MURPHREE JR.
Credential	:	MD
Telephone Number	:	512-244-3698

Provider Enumeration Date	:	08/26/2010
Last Update Date	:	03/06/2017

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