Organization Active NPI

Southwest OB/GYN Assoc LLP

  • Obstetrics & Gynecology Physician
  • Sugar Land, TX
National Provider Identifier
1336148378
Registry record updated May 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
SOUTHWEST OB/GYN ASSOC LLP
Practice address
16651 Southwest Freeway
Suite 200
Sugar Land, TX 77479
Phone
(713) 774-5131
Fax
(713) 774-4336
NPI assigned
Jul 20, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2020

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

Authorized official

Name
Michelle Benton
Title
Administrator
Phone
(713) 774-5131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

16651 Southwest Freeway
Suite 200
Sugar Land, TX 77479

Mailing address

16651 Southwest Fwy Ste 200
Sugar Land, TX 77479-2347
Phone (713) 774-5131

Other identifiers 1

IdentifierTypeStateIssuer
084773301MedicaidTX

National Provider Directory

National Provider Directory

Locations

1 Sugar Creek Center Blvd
Ste 360
Sugar Land, TX 77478

17510 W Grand Pkwy S
Ste 310
Sugar Land, TX 77479
Phone (281) 728-5855

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": "1121817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590537600000",
    "number": "1336148378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16651 SOUTHWEST FWY STE 200",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774792347",
            "telephone_number": "713-774-5131",
            "fax_number": "713-774-7122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16651 SOUTHWEST FREEWAY",
            "address_2": "SUITE 200",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "77479",
            "telephone_number": "713-774-5131",
            "fax_number": "713-774-4336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST OB/GYN ASSOC LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-20",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A",
        "authorized_official_last_name": "BENTON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "713-774-5131"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084773301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2020; 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.