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Export Provider Record NPI 1104170901
Aa Obgyn Pllc
Organization Subpart: NO
Active
NPI Number1104170901
NPI TypeNPI-2 Organization
SpecialtyObstetrics & Gynecology
Provider Details
NPI1104170901
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2012-10-31
Last Updated2012-10-31
Authorized OfficialJinous Rouhani
CEO
Phone: 5124518211
Mailing Address12200 Renfert Way, Ste 100
Austin, TX 78758-5614
United States
Phone: (512) 451-8211
📍 View Map
Primary Practice Address12200 Renfert Way, Ste 100
Austin, TX 78758-5614
United States
Phone: (512) 451-8211
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes207V00000X – Obstetrics & Gynecology
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About NPI 1104170901

Aa Obgyn Pllc is an organization registered in the CMS NPPES NPI Registry with NPI number 1104170901. The primary specialty listed is Obstetrics & Gynecology. The organization is located in Austin, TX. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2012-10-31. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1104170901?

NPI 1104170901 belongs to Aa Obgyn Pllc, a Obstetrics & Gynecology in Austin, TX. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1104170901 active?

The current status of NPI 1104170901 in the NPPES registry is Active. The record was last updated on 2012-10-31.

What specialty is NPI 1104170901?

NPI 1104170901 is classified under the taxonomy Obstetrics & Gynecology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1104170901?

You can verify NPI 1104170901 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1104170901?

The primary practice address on file for NPI 1104170901 is 12200 Renfert Way, Austin, TX 78758-5614. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1104170901 issued?

NPI 1104170901 was first issued (enumerated) on 2012-10-31. The NPPES record was last updated on 2012-10-31.

Practice Location Map

Aa Obgyn Pllc is located at 12200 Renfert Way, Austin, TX. Use the map below to find directions or verify the practice location.

📍 12200 Renfert Way, Austin, TX 78758-5614  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Aa Obgyn Pllc. All records sourced from the CMS NPPES registry.

Data Verified from CMS NPPES Last synced: 2026-06-25 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162