Basic Information
| Provider Information | |||||||||
| NPI: | 1902934631 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | NORTH AUSTIN OBSTETRICS & GYNECOLOGY PA | ||||||||
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| OtherOrganizationName: | OBGYN NORTH | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 12201 RENFERT WAY | ||||||||
| Address2: | SUITE 220 | ||||||||
| City: | AUSTIN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 787585354 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5124253825 | ||||||||
| FaxNumber: | 5124253829 | ||||||||
| Practice Location | |||||||||
| Address1: | 12201 RENFERT WAY | ||||||||
| Address2: | SUITE 220 | ||||||||
| City: | AUSTIN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 787585354 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5124253825 | ||||||||
| FaxNumber: | 5124253829 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/02/2007 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | THOMPSON | ||||||||
| AuthorizedOfficialFirstName: | MARGARET | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 5124253825 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | G1890 | TX | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
No ID Information.