Mansfield OBGYN Association

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

L5365 Issued in TX

Legal business name

MANSFIELD OBGYN ASSOCIATION

Practice address

1770 E Broad St Suite 102
Mansfield, TX 70063

Phone

(817) 453-8087

Fax

(817) 453-8084

NPI assigned

Mar 10, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Celso Hernandez, MD

Title

President

Phone

(817) 453-8087

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205107200000",
    "number": "1023288701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 E BROAD ST SUITE 102",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "76063",
            "telephone_number": "817-453-8087",
            "fax_number": "817-453-8084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 E BROAD ST SUITE 102",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "70063",
            "telephone_number": "817-453-8087",
            "fax_number": "817-453-8084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANSFIELD OBGYN ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-10",
        "last_updated": "2008-03-10",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "CELSO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-453-8087",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "L5365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mansfield Isd
• Mansfield Long Term Care LLC
• Mansfield Medical Clinic
• Mansfield Neurology Associates PLLC
• Mansfield Nursing and Rehabilitation LP
• Mansfield Oral and Facial Surgery
• Mansfield Pain Services, LLC
• Mansfield Pediatrics
• Mansfield Physician Staffing, PLLC
• Mansfield Smiles and Orthodontics, PC

• Obstetrics & Gynecology Physician in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Obstetrics & Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.