# OBSTETRICS & GYNECOLOGY ASSOCIATES OF EAST TEXAS

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

## Provider details

- **NPI number:** 1295007649
- **Authorized official:** DR. ROBERT G BLACKWELL M.D. (MANAGING PARTNER)
- **Authorized official phone:** (903) 723-8554

## Contact information

- **Practice address:** 115 MEDICAL DR, PALESTINE, TX 75801-4781
- **Practice address phone:** (903) 723-8554
- **Practice address fax:** (903) 723-2054
- **Mailing address:** 115 MEDICAL DR, PALESTINE, TX 75801-4781
- **Mailing address phone:** (903) 723-8554
- **Mailing address fax:** (903) 723-2054

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/01/2012
- **Last updated:** 02/01/2012