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OBSTETRICS & GYNECOLOGY ASSOCIATES OF EAST TEXAS NPI 1295007649


NPI Information

NPI: 1295007649
Provider Name: OBSTETRICS & GYNECOLOGY ASSOCIATES OF EAST TEXAS
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 45D0678370

Address:
115 MEDICAL DR
PALESTINE, TX
ZIP 75801
Phone: (903) 723-8554
Get Directions

OBSTETRICS & GYNECOLOGY ASSOCIATES OF EAST TEXAS is an obstetrics gynecology in Palestine, TX. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. OBSTETRICS & GYNECOLOGY ASSOCIATES OF EAST TEXAS NPI is 1295007649. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

115 MEDICAL DR
PALESTINE, TX
ZIP 75801-781
Phone: (903) 723-8554
Fax: (903) 723-2054

The provider's authorized official is Robert G Blackwell .
The authorized official title is Managing Partner and has the following contact phone number (903) 723-8554.

The CLIA number assigned to this NPI record is 45D0678370 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/1/2012 and was last updated on 2/1/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & GynecologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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