Organization
WILLIAM H. OBENOUR, JR., M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM HYPES OBENOUR JR. M.D. (PRESIDENT, V.PRES., SEC-TREAS)
(713) 790-1541
Entity
Organization
Contact information
Practice address
6560 FANNIN ST, SUITE 1112, HOUSTON, TX 77030-2761
(713) 790-1541
(713) 790-1581
Mailing address
6560 FANNIN ST, SUITE 1112, HOUSTON, TX 77030-2761
(713) 790-1541
(713) 790-1581
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
D7650
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
035287401
—
TX
Enumeration date
02/02/2010
Last updated
02/02/2010
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