Provider Demographics
NPI:1225205214
Name:COMPLETE OBGYN CARE PA
Entity Type:Organization
Organization Name:COMPLETE OBGYN CARE PA
Other - Org Name:MOHAMMED KABIR DO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHAMMED
Authorized Official - Middle Name:
Authorized Official - Last Name:KABIR
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:281-579-1488
Mailing Address - Street 1:21542 KINGSLAND BLVD
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-6183
Mailing Address - Country:US
Mailing Address - Phone:281-579-1488
Mailing Address - Fax:281-579-1667
Practice Address - Street 1:21542 KINGSLAND BLVD
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-6183
Practice Address - Country:US
Practice Address - Phone:281-579-1488
Practice Address - Fax:281-579-1667
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-09
Last Update Date:2015-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL1899207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX144740101Medicaid
TX144740101Medicaid