Organization Active NPI

Southeast Texas Women'S Health PA

  • Obstetrics & Gynecology Physician
  • Port Neches, TX
National Provider Identifier
1194047084
Registry record updated Jun 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
N4270 Issued in TX
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

Updated by the provider on Jun 4, 2010

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)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.