# OBSTETRICS AND GYNECOLOGY OF THE WOODLANDS, P.A.

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

## Provider details

- **NPI number:** 1679597256
- **Authorized official:** JEROME CLAYTON YOUNG M.D. (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (281) 419-5010

## Contact information

- **Practice address:** 17350 ST LUKES WAY, SUITE 300, THE WOODLANDS, TX 77384-4100
- **Practice address phone:** (281) 419-5010
- **Practice address fax:** (936) 273-4418
- **Mailing address:** 17350 ST LUKES WAY, SUITE 300, THE WOODLANDS, TX 77384-4100
- **Mailing address phone:** (281) 419-5010
- **Mailing address fax:** (936) 273-4418

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | J8848 | TX | Yes |

## Other

- **Enumeration date:** 07/27/2006
- **Last updated:** 11/30/2009