Advanced OBGYN Care of South Texas

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

M0326 Issued in 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

Last updated

Jan 24, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Edward B Blackman Jr., MD

Title

Owner

Phone

(830) 769-3970

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201132800000",
    "number": "1801938121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 HWY 97 E",
            "address_2": "STE 230",
            "city": "JOURDANTON",
            "state": "TX",
            "postal_code": "78026",
            "telephone_number": "830-769-3970",
            "fax_number": "830-769-3978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 HWY 97 E",
            "address_2": "STE 230",
            "city": "JOURDANTON",
            "state": "TX",
            "postal_code": "78026",
            "telephone_number": "830-769-3970",
            "fax_number": "830-769-3978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED OBGYN CARE OF SOUTH TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2008-01-24",
        "status": "A",
        "authorized_official_last_name": "BLACKMAN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "830-769-3970",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "M0326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Jourdanton, TX
• Providers in Jourdanton, TX by specialty
• Obstetrics & Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; 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.