Organization
OBSTETRICAL AND GYNECOLOGICAL ASSOCIATES, PLLC
Active
Other names
Obstetrical and Gynecological Associates, P.A.
Organization subpart
No
Provider details
NPI number
Authorized official
RORY PENA (CREDENTIALING)
(713) 512-7027
Entity
Organization
Contact information
Practice address
7900 FANNIN ST, SUITE 4000, HOUSTON, TX 77054-2934
(713) 512-7000
(713) 512-7082
Mailing address
PO BOX 4048, HOUSTON, TX 77210-4048
(713) 512-7000
(713) 512-7082
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
D9508
TX
207VE0102X
Reproductive Endocrinology Physician
—
TX
207VG0400X
Gynecology Physician
—
TX
2085R0202X
Diagnostic Radiology Physician
—
TX
2085U0001X
Diagnostic Ultrasound Physician
—
TX
291U00000X
Clinical Medical Laboratory
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
079778901
—
TX
05
—
144808601
—
TX
05
—
147769701
—
TX
01
—
CN9938
RAILROAD MEDICARE
TX
Enumeration date
06/02/2005
Last updated
04/22/2014
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