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SOUTHEAST TEXAS OB GYN ASSOCIATES PA
NPI 1245361369
Obstetrics & Gynecology in Beaumont, TX

Active since March 08, 2007CLIA 45D0959181 · Certificate of Compliance
755 N 11TH ST, STE # P4200, BEAUMONT, TX 77702(409) 899-1499(409) 899-1354 Get Directions Write a Review

NPPES record last updated: April 25, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southeast Texas Ob Gyn Associates Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHEAST TEXAS OB GYN ASSOCIATES PA (NPI 1245361369) is a healthcare organization registered as an obstetrics & gynecology in Beaumont, Texas and active in the NPI registry since March 2007. The organization holds a CLIA Certificate of Compliance certificate valid through September 22, 2027 and lists Maureen Mcauliffe, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1245361369
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameSOUTHEAST TEXAS OB GYN ASSOCIATES PA
Location Address755 N 11TH ST, STE # P4200Beaumont, TX 77702-1501
Mailing Address755 N 11th St, Ste # P4200Beaumont, TX 77702-1501 · (409) 899-1499 · Fax (409) 899-1354
Phone(409) 899-1499
Fax(409) 899-1354
Organization SubpartNo
Authorized OfficialMaureen McauliffePractice Manager · (409) 899-1499
Enumeration DateMarch 8, 2007
Last NPPES UpdateApril 25, 2016
✔ NPI 1245361369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
755 N 11TH ST, Beaumont, TX 77702
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Other Identifiers 4

Medicaid085244401TX
Medicare ID-Type UnspecifiedT40RTX
Other45D0959181TX · Clia
OtherCE8392TX · Group Rail Road Medicare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 45D0959181

Southeast Texas Ob/Gyn Associates · Beaumont, TX
Active · expires Sep 22, 2027
CLIA Number45D0959181
Laboratory TypePhysician Office
Certificate Effective DateSeptember 23, 2025
Certificate Expiration DateSeptember 22, 2027
Laboratory DirectorKaren Mason
Laboratory Phone(409) 236-6131
Laboratory LocationSoutheast Texas Ob/Gyn Associates755 N 11th Street Suite P4200, Beaumont, TX 77702
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. BONNI BLUE STANCOVEN CRNA
Nurse Anesthetist, Certified Registered
755 N 11TH ST, SUITE P3600
BEAUMONT, TX 77702
Jefferson County (409) 838-5214
DR. MUSTAFA IBRAHIM MUSA M.D.
Internal Medicine
755 N 11TH ST, SUITE P-5200
BEAUMONT, TX 77702
Jefferson County (409) 898-2994
DR. TOBIN A. SLACK M.D.
Anesthesiology
755 N 11TH ST, SUITE P3600
BEAUMONT, TX 77702
Jefferson County (409) 838-5214
DR. MARIA SUSAN BLAHEY MD
Family Medicine
755 N 11TH ST, SUITE P-5200
BEAUMONT, TX 77702
Jefferson County (409) 898-2994
STEVEN CHAD WILLIAMS CRNA
Nurse Anesthetist, Certified Registered
755 N 11TH ST, SUITE P3600
BEAUMONT, TX 77702
Jefferson County (409) 838-5214
DR. MICHAEL J. MCCREDIE M.D.
Anesthesiology
755 N 11TH ST, SUITE P3600
BEAUMONT, TX 77702
Jefferson County (409) 838-5214
DEREK CHAMBLESS CRNA
Nurse Anesthetist, Certified Registered
755 N 11TH ST, SUITE P3600
BEAUMONT, TX 77702
Jefferson County (409) 838-5214
SHEILA DIAN DEVAUGH APRN
Nurse Practitioner (Family)
755 N 11TH ST, STE. P2200
BEAUMONT, TX 77702
Jefferson County (409) 892-1192

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southeast Texas Ob Gyn Associates PA's NPI number?

The NPI number for Southeast Texas Ob Gyn Associates PA is 1245361369. It was assigned to this organization in the NPPES registry on March 8, 2007.

Where is Southeast Texas Ob Gyn Associates PA located?

Southeast Texas Ob Gyn Associates PA is located at 755 N 11th St Ste # P4200, Beaumont, TX 77702. The listed phone number is (409) 899-1499.

What is Southeast Texas Ob Gyn Associates PA's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Does Southeast Texas Ob Gyn Associates PA hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 45D0959181) is associated with this NPI, valid through September 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Southeast Texas Ob Gyn Associates PA was last updated on April 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.