Organization
BAY AREA OBSTETRICS AND GYNECOLOGY,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROLYN KENNEY MD (PRESIDENT OF PA)
(214) 460-5205
Entity
Organization
Contact information
Practice address
17 PROFESSIONAL PARK DR, WEBSTER, TX 77598-4123
(281) 332-9511
(281) 332-6685
Mailing address
17 PROFESSIONAL PARK DR, WEBSTER, TX 77598-4123
(281) 332-9511
(281) 332-6685
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00137Y
GROUP MEDICARE PROVIDER N
TX
Enumeration date
09/05/2007
Last updated
08/29/2023
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