Basic Information
| Provider Information | |||||||||
| NPI: | 1710293824 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | CENTRAL TEXAS OB/GYN ASSOCIATES, PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7718 WOOD HOLLOW DR | ||||||||
| Address2: | SUITE 103 | ||||||||
| City: | AUSTIN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 787311648 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5122796701 | ||||||||
| FaxNumber: | 5122796750 | ||||||||
| Practice Location | |||||||||
| Address1: | 7718 WOOD HOLLOW DR | ||||||||
| Address2: | SUITE 103 | ||||||||
| City: | AUSTIN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 787311648 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5122796701 | ||||||||
| FaxNumber: | 5122796750 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/26/2010 | ||||||||
| LastUpdateDate: | 03/06/2017 | ||||||||
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| AuthorizedOfficialLastName: | MURPHREE | ||||||||
| AuthorizedOfficialFirstName: | PAUL | ||||||||
| AuthorizedOfficialMiddleName: | B. | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 5122443698 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNameSuffix: | JR. | ||||||||
| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103TC0700X | N | 193200000X MULTI-SPECIALTY GROUP | Behavioral Health & Social Service Providers | Psychologist | Clinical | 207V00000X | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
No ID Information.