Provider Demographics
NPI:1225299167
Name:1ST CHOICE OBSTETRICS & GYNECOLOGY
Entity Type:Organization
Organization Name:1ST CHOICE OBSTETRICS & GYNECOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-882-8050
Mailing Address - Street 1:920 MEDICAL PLAZA DR
Mailing Address - Street 2:400
Mailing Address - City:SHENANDOAH
Mailing Address - State:TX
Mailing Address - Zip Code:77380-3259
Mailing Address - Country:US
Mailing Address - Phone:281-882-8050
Mailing Address - Fax:
Practice Address - Street 1:920 MEDICAL PLAZA DR
Practice Address - Street 2:400
Practice Address - City:SHENANDOAH
Practice Address - State:TX
Practice Address - Zip Code:77380-3259
Practice Address - Country:US
Practice Address - Phone:281-882-8050
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-23
Last Update Date:2011-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00Z486Medicare PIN