Active NPI
Southeast Texas Women'S Health PA
- Obstetrics & Gynecology Physician
- Port Neches, TX
National Provider Identifier
1194047084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- N4270
- Legal business name
- SOUTHEAST TEXAS WOMEN'S HEALTH PA
- Practice address
- 3141 Saba LN
Port Neches, TX 77651-5421 - Phone
- (409) 722-9995
- NPI assigned
- Feb 19, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. George T. Backardjiev, MD
- Title
- Registered Agent
- Phone
- (409) 722-9995
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | N4270 | TX | Primary |
Addresses
Primary practice location
3141 Saba LN
Port Neches, TX 77651-5421
Mailing address
3141 Saba LN
Port Neches, TX 77651-5421
Phone (409) 722-9995
National Provider Directory
National Provider DirectoryLocations
3141 Saba Ln
Port Neches, TX 77651
Phone (409) 722-0041
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gynecology Physician
- Port Arthur, TX
- NPI 1134128119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266537600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1275609600000",
"number": "1194047084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3141 SABA LN",
"city": "PORT NECHES",
"state": "TX",
"postal_code": "776515421",
"telephone_number": "409-722-9995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3141 SABA LN",
"city": "PORT NECHES",
"state": "TX",
"postal_code": "776515421",
"telephone_number": "409-722-9995"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHEAST TEXAS WOMEN'S HEALTH PA",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-19",
"last_updated": "2010-06-04",
"status": "A",
"authorized_official_last_name": "BACKARDJIEV",
"authorized_official_first_name": "GEORGE",
"authorized_official_middle_name": "T.",
"authorized_official_title_or_position": "REGISTERED AGENT",
"authorized_official_telephone_number": "409-722-9995",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "TX",
"license": "N4270",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Neches, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.