Organization
BLUEBONNET OB GYN
Active
Other names
SMITHVILLE REGIONAL HOSPITAL AUTHORITY
Organization subpart
No
Provider details
NPI number
Authorized official
NORALENE CORDER (CFO)
(512) 237-3214
Entity
Organization
Contact information
Practice address
81 LOOP 150 W, BASTROP, TX 78602-3930
(512) 308-9100
(512) 308-9101
Mailing address
81 LOOP 150 W, BASTROP, TX 78602-3930
(512) 308-9100
(512) 308-9101
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
—
—
Other
Enumeration date
04/17/2007
Last updated
08/22/2020
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