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Organization

BAY AREA ADVANCED OBGYN, PLLC

Active
Parent organization
BAY AREA ADVANCED OBGYN, PLLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
BAY AREA ADVANCED OBGYN, PLLC
Authorized official
ERWIN MANFRED KORMAN MD (MD)
(832) 331-1125
Entity
Organization

Contact information

Practice address
450 W MEDICAL CENTER BLVD STE 410, WEBSTER, TX 77598-4233
(832) 331-1125
(281) 724-1077
Mailing address
450 W MEDICAL CENTER BLVD STE 410, WEBSTER, TX 77598-4233
(832) 331-1125
(281) 724-1077

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
F4912
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
099377603
TX
05
114825604
TX
05
308874201
TX
Enumeration date
03/21/2012
Last updated
03/05/2013
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