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Organization
MID TOWN OB GYN ASSOCIATES, INC
Active
Organization
MID TOWN OB GYN ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BLANCHARD TUCKER HOLLINS (PRESIDENT)
(713) 675-1749
Entity
Organization
Contact information
Practice address
4315 LOCKWOOD DR, HOUSTON, TX 77026-4117
(713) 675-1749
(713) 670-8190
Mailing address
4315 LOCKWOOD DR, HOUSTON, TX 77026-4117
(713) 675-1749
(713) 670-8190
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
C17040
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
129169203
TEXAS HEALTH NETWORK
TX
05
—
80W240
—
TX
Enumeration date
04/06/2007
Last updated
08/11/2009
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