Provider Demographics
NPI:1962919316
Name:PREMIER OBGYN RGV PLLC
Entity type:Organization
Organization Name:PREMIER OBGYN RGV PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTIAAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:WEBB
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-616-5542
Mailing Address - Street 1:4217 N MCCOLL RD STE 700
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-4466
Mailing Address - Country:US
Mailing Address - Phone:956-616-5542
Mailing Address - Fax:
Practice Address - Street 1:4217 NORTH MCCOLL ROAD
Practice Address - Street 2:STE 700
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504
Practice Address - Country:US
Practice Address - Phone:956-616-5542
Practice Address - Fax:956-331-2450
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-08
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXM2496OtherMD LICENSE