Provider Demographics
NPI:1306018312
Name:OBSTETRICAL AND GYNECOLOGICAL ASSOCIATES, P.A.
Entity Type:Organization
Organization Name:OBSTETRICAL AND GYNECOLOGICAL ASSOCIATES, P.A.
Other - Org Name:OGA - WEST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:L
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-512-7000
Mailing Address - Street 1:7900 FANNIN ST
Mailing Address - Street 2:SUITE 3053
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-2934
Mailing Address - Country:US
Mailing Address - Phone:713-512-7041
Mailing Address - Fax:
Practice Address - Street 1:23920 KATY FWY
Practice Address - Street 2:SUITE 480
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-1341
Practice Address - Country:US
Practice Address - Phone:832-553-5450
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-31
Last Update Date:2008-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL1005207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00071FMedicare PIN