Organization
OB GYN ASSOCIATES OF HENDERSON LLP
Active
Other names
Brookridge Medical Center LLP
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL ANN PAYNE (PRACTICE ADMINISTRATOR)
(903) 655-8851
Entity
Organization
Contact information
Practice address
105 ZEID BLVD, HENDERSON, TX 75652
(903) 655-8851
(903) 657-1549
Mailing address
105 ZEID BLVD, HENDERSON, TX 75652
(903) 655-8851
(903) 657-1549
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
176849101
—
TX
Enumeration date
11/13/2006
Last updated
09/04/2008
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