Premier Obstetrics & Gynecology, P.a.
Organization Active NPI Obstetrics & Gynecology Physician · Plainview, TX
NPI 1457545618 · NPPES record last updated Apr 25, 2012
Key facts
- NPI
- 1457545618
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- L2662 (TX)
- Legal business name
- PREMIER OBSTETRICS & GYNECOLOGY, P.A.
- Practice address
- 2222 W 24TH St
Plainview, TX 79072-1802 - Phone
- (806) 296-0294
- Fax
- (806) 296-6909
- NPI assigned
- Aug 30, 2007
- Organization subpart
- No
Authorized official
- Name
- Charles R Smith, D.O.
- Title
- President
- Phone
- (806) 296-0294
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician |
207V00000X | L2662 | TX | Yes |
Addresses
Primary practice location
2222 W 24TH St
Plainview, TX 79072-1802
Mailing address
2222 W 24TH St
Plainview, TX 79072-1802
Phone (806) 296-0294
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 149437901 | Medicaid | TX |
Other providers in Plainview, TX
- Plainview Serenity Center
- Plainview Serenity Center,Inc.
- Diana Lizbeth Plascencia
- Prairie House SNF LLC
- Prairie Living Center, L.P.
- Noelia Quezada
- Radar Supports
- Ruth Kristine Rector-Wright
- Regence Health Network Inc
- Regence Health Network Inc
All providers in Plainview, TX · Obstetrics & Gynecology Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 25, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.