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Organization

PREMIER OBSTETRICS & GYNECOLOGY, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHARLES R SMITH D.O. (PRESIDENT)
(806) 296-0294
Entity
Organization

Contact information

Practice address
2222 W 24TH ST, PLAINVIEW, TX 79072-1802
(806) 296-0294
(806) 296-6909
Mailing address
2222 W 24TH ST, PLAINVIEW, TX 79072-1802
(806) 296-0294
(806) 296-6909

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
L2662
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
149437901
TX
Enumeration date
08/30/2007
Last updated
04/25/2012
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