# MANSFIELD OBGYN ASSOCIATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023288701
- **Authorized official:** DR. CELSO HERNANDEZ MD (PRESIDENT)
- **Authorized official phone:** (817) 453-8087

## Contact information

- **Practice address:** 1770 E BROAD ST SUITE 102, MANSFIELD, TX 70063
- **Practice address phone:** (817) 453-8087
- **Practice address fax:** (817) 453-8084
- **Mailing address:** 1770 E BROAD ST SUITE 102, MANSFIELD, TX 76063
- **Mailing address phone:** (817) 453-8087
- **Mailing address fax:** (817) 453-8084

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | L5365 | TX | Yes |

## Other

- **Enumeration date:** 03/10/2008
- **Last updated:** 03/10/2008