Provider Demographics
NPI:1043593528
Name:LOR WOMEN'S HEALTH CARE PLLC
Entity Type:Organization
Organization Name:LOR WOMEN'S HEALTH CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FARIBA
Authorized Official - Middle Name:
Authorized Official - Last Name:PAJOOHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-479-1222
Mailing Address - Street 1:403 W CAMPBELL RD STE 305
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-3468
Mailing Address - Country:US
Mailing Address - Phone:469-939-7151
Mailing Address - Fax:
Practice Address - Street 1:403 W CAMPBELL RD STE 305
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-3468
Practice Address - Country:US
Practice Address - Phone:469-939-7151
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-21
Last Update Date:2012-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN8555261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2980773Medicaid