Provider Demographics
NPI:1467577411
Name:SWEETWATER OBGYN ASSOCIATES LTD., LLP
Entity Type:Organization
Organization Name:SWEETWATER OBGYN ASSOCIATES LTD., LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:CROWE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-340-6800
Mailing Address - Street 1:30 STONECLIFF CIR
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-5730
Mailing Address - Country:US
Mailing Address - Phone:281-340-6800
Mailing Address - Fax:281-634-9636
Practice Address - Street 1:30 STONECLIFF CIR
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-5730
Practice Address - Country:US
Practice Address - Phone:281-340-6800
Practice Address - Fax:281-634-9636
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2009-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty