Organization
SOUTHWEST OB/GYN ASSOC LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE BENTON (ADMINISTRATOR)
(713) 774-5131
Entity
Organization
Contact information
Practice address
16651 SOUTHWEST FREEWAY, SUITE 200, SUGAR LAND, TX 77479
(713) 774-5131
(713) 774-4336
Mailing address
16651 SOUTHWEST FWY STE 200, SUGAR LAND, TX 77479-2347
(713) 774-5131
(713) 774-7122
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
084773301
—
TX
Enumeration date
07/20/2005
Last updated
05/27/2020
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