Advanced OBGYN Care of South Texas
Organization Active NPI Obstetrics & Gynecology Physician · Jourdanton, TX
NPI 1801938121 · NPPES record last updated Jan 24, 2008
Key facts
- NPI
- 1801938121
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- M0326 (TX)
- Legal business name
- ADVANCED OBGYN CARE OF SOUTH TEXAS
- Practice address
- 1901 Hwy 97 E
Ste 230
Jourdanton, TX 78026 - Phone
- (830) 769-3970
- Fax
- (830) 769-3978
- NPI assigned
- Feb 13, 2007
- Organization subpart
- No
Authorized official
- Name
- Edward B Blackman Jr., MD
- Title
- Owner
- Phone
- (830) 769-3970
National Provider Directory
Locations
1901 E State Highway 97
Ste 230
Jourdanton, TX 78026
Phone (830) 769-3970
1901 E State Highway 97
Ste 220
Jourdanton, TX 78026
Phone (830) 769-3970
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician |
207V00000X | M0326 | TX | Yes |
Addresses
Primary practice location
1901 Hwy 97 E
Ste 230
Jourdanton, TX 78026
Mailing address
1901 Hwy 97 E
Ste 230
Jourdanton, TX 78026
Phone (830) 769-3970
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8D1909 | Other | TX | MEDICARE |
Other providers in Jourdanton, TX
- Alejandra Moreno MD PA
- Niccale Tenika Alibin
- Jace Allen
- Laura S. Allen
- Atascosa Anesthesia Associates, PLLC
All providers in Jourdanton, 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 Jan 24, 2008. 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.