Provider Demographics
NPI:1013179662
Name:NORTHEAST OB/GYN ASSOCIATES, LLP
Entity Type:Organization
Organization Name:NORTHEAST OB/GYN ASSOCIATES, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:A
Authorized Official - Last Name:BRIDGES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-319-8107
Mailing Address - Street 1:22999 HIGHWAY 59 N
Mailing Address - Street 2:STE 150
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-4412
Mailing Address - Country:US
Mailing Address - Phone:281-358-7623
Mailing Address - Fax:281-319-4623
Practice Address - Street 1:22999 HIGHWAY 59 N
Practice Address - Street 2:STE 150
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-4412
Practice Address - Country:US
Practice Address - Phone:281-358-7623
Practice Address - Fax:281-319-4623
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-25
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetricsGroup - Multi-Specialty