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HOUSTON OB/GYN LLC NPI 1245565985


NPI Information

NPI: 1245565985
Provider Name: HOUSTON OB/GYN, LLC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
1570 WATSON BLVD
SUITE 100
WARNER ROBINS, GA
ZIP 31093
Phone: (478) 923-6462
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HOUSTON OB/GYN, LLC is an obstetrics gynecology in Warner Robins, GA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. HOUSTON OB/GYN, LLC NPI is 1245565985. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1570 WATSON BLVD
SUITE 100
WARNER ROBINS, GA
ZIP 31093-432
Phone: (478) 923-6462
Fax: (478) 923-6215

The provider's authorized official is Carlo C. Lee .
The authorized official title is Owner/physician and has the following contact phone number (478) 923-6462.

The enumeration date for this NPI number is 10/14/2009 and was last updated on 8/8/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & Gynecology041455GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000725029EMEDICAIDGEORGIA
2202G703838MEDICARE PINGEORGIA
3G39361MEDICARE UPINGEORGIA
4000725029IMEDICAIDGEORGIA
5202I163839MEDICARE PINGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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