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OB-GYN ASSOCIATES OF WACO P.A. NPI 1538308507


NPI Information

NPI: 1538308507
Provider Name: OB-GYN ASSOCIATES OF WACO, P.A.
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 45D1098281

Address:
2501 AMBASSADOR DR
WACO, TX
ZIP 76712
Phone: (254) 752-4395
Get Directions

OB-GYN ASSOCIATES OF WACO, P.A. is an obstetrics gynecology in Waco, TX. 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. OB-GYN ASSOCIATES OF WACO, P.A. NPI is 1538308507. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2501 AMBASSADOR DR
WACO, TX
ZIP 76712-000
Phone: (254) 752-4395
Fax: (254) 752-7343

The provider's authorized official is Joel Mark Rister .
The authorized official title is DOCTOR COOWNERCoowner and has the following contact phone number (254) 752-4395.

The CLIA number assigned to this NPI record is 45D1098281 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/13/2009 and was last updated on 2/13/2009.


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 & GynecologyG3732TEXASYes

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
100B67UMEDICARE PINTEXAS
200JZ43MEDICARE PINTEXAS
3097556702MEDICAIDTEXAS
4099097002MEDICAIDTEXAS

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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