Provider Demographics
NPI:1649472705
Name:TEXAS OBSTETRICS & GYNECOLOGY ASSOCIATES, LLP
Entity type:Organization
Organization Name:TEXAS OBSTETRICS & GYNECOLOGY ASSOCIATES, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:B
Authorized Official - Last Name:BRANNING
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-824-2547
Mailing Address - Street 1:5757 WARREN PKWY
Mailing Address - Street 2:310
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-4274
Mailing Address - Country:US
Mailing Address - Phone:214-824-2547
Mailing Address - Fax:214-618-8038
Practice Address - Street 1:5757 WARREN PKWY
Practice Address - Street 2:310
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-4274
Practice Address - Country:US
Practice Address - Phone:214-824-2547
Practice Address - Fax:214-816-8038
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-01
Last Update Date:2009-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VH0002XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyHospice and Palliative MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX083839301Medicaid
TX00L78BOtherBLUE CROSS
TXCB6998OtherRR MEDICARE
TX083839301Medicaid