Provider Demographics
NPI:1164889085
Name:OBGYN NORTH
Entity Type:Organization
Organization Name:OBGYN NORTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OBGYN, OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:SEBESTYEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-425-3825
Mailing Address - Street 1:1263 S AUSTIN AVE
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78626-6714
Mailing Address - Country:US
Mailing Address - Phone:512-983-4857
Mailing Address - Fax:
Practice Address - Street 1:12221 RENFERT WAY STE 330
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78758-5374
Practice Address - Country:US
Practice Address - Phone:512-425-3825
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-22
Last Update Date:2016-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP130086176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty