Provider Demographics
NPI:1689864092
Name:WEATHERFORD OB/GYN ASSOCIATES, P.A.
Entity Type:Organization
Organization Name:WEATHERFORD OB/GYN ASSOCIATES, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:STAMATIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:817-599-7373
Mailing Address - Street 1:PO BOX 1914
Mailing Address - Street 2:
Mailing Address - City:WEATHERFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76086-7914
Mailing Address - Country:US
Mailing Address - Phone:817-599-7373
Mailing Address - Fax:
Practice Address - Street 1:706 EUREKA ST
Practice Address - Street 2:
Practice Address - City:WEATHERFORD
Practice Address - State:TX
Practice Address - Zip Code:76086-6520
Practice Address - Country:US
Practice Address - Phone:817-599-7373
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-01
Last Update Date:2007-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM0577207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty