MEDICARE: OB-STATS INC

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	207VG0400X	Gynecology Physician

General Provider Information

NPI Number	:	1821629635
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OB-STATS INC

Provider Business Mailing Address
First Line	:	4132 S RAINBOW BLVD UNIT 112
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89103-3106
Country	:	US
Telephone Number	:	702-908-4515
Fax Number	:

Provider Business Practice Location Address
First Line	:	4132 S RAINBOW BLVD UNIT 112
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89103-3106
Country	:	US
Telephone Number	:	702-908-4515
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	DR. DAVID L HOWARD
Credential	:	MD PHD
Telephone Number	:	702-908-4515

Provider Enumeration Date	:	01/30/2020
Last Update Date	:	01/30/2020

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Directions to “OB-STATS INC ” Practice Location

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