NPIMap

Organization Active NPI

Katy Advanced OBGYN, PLLC

  • Obstetrics & Gynecology Physician
  • Katy, TX
National Provider Identifier
1649677329
Registry record updated Nov 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
KATY ADVANCED OBGYN, PLLC
Practice address
23920 Katy Fwy
Suite 480
Katy, TX 77494-1341
Phone
(832) 553-5450
Fax
(281) 347-2300
NPI assigned
Nov 25, 2014
Last updated
Nov 25, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTHWEST WOMEN'S HEALTH ALLIANCE, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 25, 2014

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

Authorized official

Name
Jim Edwards
Title
Chief Administrative Officer
Phone
(713) 512-7083

Specialties & licenses 1

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

Addresses

Primary practice location

23920 Katy Fwy
Suite 480
Katy, TX 77494-1341

Mailing address

PO Box 3140
Department 900
Houston, TX 77253-3140
Phone (832) 553-5450

National Provider Directory

National Provider Directory
Tax ID family
Katy Advanced OBGYN PLLC21 organizations share this tax ID, including this one
Part of
Katy Advanced OBGYN PLLC

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1416873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416873600000",
    "number": "1649677329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3140",
            "address_2": "DEPARTMENT 900",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772533140",
            "telephone_number": "832-553-5450",
            "fax_number": "281-347-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23920 KATY FWY",
            "address_2": "SUITE 480",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774941341",
            "telephone_number": "832-553-5450",
            "fax_number": "281-347-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATY ADVANCED OBGYN, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHWEST WOMEN'S HEALTH ALLIANCE, PLLC",
        "enumeration_date": "2014-11-25",
        "last_updated": "2014-11-25",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "713-512-7083"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; 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.