Provider Demographics
NPI:1447448576
Name:NORTHEAST OB GYN ASSOCIATES LLP
Entity type:Organization
Organization Name:NORTHEAST OB GYN ASSOCIATES LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:BRIDGES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-319-8107
Mailing Address - Street 1:18955 N MEMORIAL DR
Mailing Address - Street 2:STE 350
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338-4396
Mailing Address - Country:US
Mailing Address - Phone:281-319-4111
Mailing Address - Fax:281-319-4623
Practice Address - Street 1:18955 N MEMORIAL DR
Practice Address - Street 2:STE 350
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-4396
Practice Address - Country:US
Practice Address - Phone:281-319-4111
Practice Address - Fax:281-319-4623
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-15
Last Update Date:2008-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetricsGroup - Single Specialty