Provider Demographics
NPI:1760660088
Name:ADVANCED OB-GYN ASSOCIATES P.A.
Entity Type:Organization
Organization Name:ADVANCED OB-GYN ASSOCIATES P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:SALTER
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:972-276-9902
Mailing Address - Street 1:3201 E. PRESIDENT GEORGE BUSH TURNPIKE
Mailing Address - Street 2:SUITE 107
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75082-3565
Mailing Address - Country:US
Mailing Address - Phone:972-276-9902
Mailing Address - Fax:972-276-9819
Practice Address - Street 1:3201 E. PRESIDENT GEORGE BUSH TURNPIKE
Practice Address - Street 2:SUITE 107
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75082-3565
Practice Address - Country:US
Practice Address - Phone:972-276-9902
Practice Address - Fax:972-276-9819
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-08
Last Update Date:2013-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH6570207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty