Provider Demographics
NPI:1215105978
Name:SERENITY OBSTETRICS
Entity type:Organization
Organization Name:SERENITY OBSTETRICS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:AYSUN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALAGOZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:830-386-0000
Mailing Address - Street 1:1109 N AUSTIN ST
Mailing Address - Street 2:
Mailing Address - City:SEGUIN
Mailing Address - State:TX
Mailing Address - Zip Code:78155-3701
Mailing Address - Country:US
Mailing Address - Phone:830-386-0000
Mailing Address - Fax:830-386-0060
Practice Address - Street 1:1109 N AUSTIN ST
Practice Address - Street 2:
Practice Address - City:SEGUIN
Practice Address - State:TX
Practice Address - Zip Code:78155-3701
Practice Address - Country:US
Practice Address - Phone:380-386-0000
Practice Address - Fax:380-386-0060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-15
Last Update Date:2008-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty