Organization
SOUTHEAST OB-GYN ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET KELLEY M.D. (PRESIDENT OF COMPANY)
(210) 333-0532
Entity
Organization
Contact information
Practice address
4115 E SOUTHCROSS BLVD, SUITE 102, SAN ANTONIO, TX 78222-3729
(210) 333-0532
(210) 333-2292
Mailing address
4115 E SOUTHCROSS BLVD, SUITE 102, SAN ANTONIO, TX 78222-3729
(210) 333-0532
(210) 333-2292
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080320701
—
TX
05
—
098135902
—
TX
05
—
150344301
—
TX
Enumeration date
03/20/2007
Last updated
05/16/2024
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