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Contact Information

ADVANCED OBGYN CARE OF SOUTH TEXAS
1901 HWY 97 E
STE 230
JOURDANTON, TX78026
 Phone: 830-769-3970
 Fax: 830-769-3978
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for ADVANCED OBGYN CARE OF SOUTH TEXAS

NPI Number 1801938121
LBN Legal business name ADVANCED OBGYN CARE OF SOUTH TEXAS
Authorized official EDWARD BLACKMAN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/13/2007
Last updated 01/24/2008 - About 18 years ago
Identifiers
TX License # M0326
TX Other 8D1909 MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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