ADVANCED OBGYN CARE OF SOUTH TEXAS NPI 1801938121

NPI Information

  • NPI: 1801938121
  • Provider Name: ADVANCED OBGYN CARE OF SOUTH TEXAS
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Organization
  • Address: 1901 HWY 97 E
    STE 230
    JOURDANTON, TX
    ZIP 78026
  • Phone: (830) 769-3970

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NPI Details

ADVANCED OBGYN CARE OF SOUTH TEXAS is an obstetrics gynecology in Jourdanton, 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. ADVANCED OBGYN CARE OF SOUTH TEXAS NPI is 1801938121. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1901 HWY 97 E
STE 230
JOURDANTON, TX
ZIP 78026
Phone: (830) 769-3970
Fax: (830) 769-3978

The provider's authorized official is Edward B Blackman .
The authorized official title is Owner and has the following contact phone number (830) 769-3970.

The enumeration date for this NPI number is 2/13/2007 and was last updated on 1/24/2008.

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 & GynecologyM0326TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18D1909MEDICARE OSCAR/CERTIFICATIONTEXAS
28D1909OTHERTEXASMEDICARE
38D1909MEDICARE PINTEXAS

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: 3/30/2025

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