Provider Demographics
NPI:1053492322
Name:A WOMAN'S CENTER FOR REPRODUCTIVE MEDICINE, L.L.C.
Entity Type:Organization
Organization Name:A WOMAN'S CENTER FOR REPRODUCTIVE MEDICINE, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BOBBY
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:WEBSTER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:225-926-6886
Mailing Address - Street 1:9000 AIRLINE HWY
Mailing Address - Street 2:SUITE 670
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70815-4114
Mailing Address - Country:US
Mailing Address - Phone:225-926-6886
Mailing Address - Fax:225-922-3730
Practice Address - Street 1:9000 AIRLINE HWY
Practice Address - Street 2:SUITE 670
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70815-4114
Practice Address - Country:US
Practice Address - Phone:225-926-6886
Practice Address - Fax:225-922-3730
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive EndocrinologyGroup - Single Specialty