Provider Demographics
NPI:1073042859
Name:WOMEN'S ONCOLOGY, PLLC
Entity Type:Organization
Organization Name:WOMEN'S ONCOLOGY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND SOLE MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:THAHIR
Authorized Official - Middle Name:
Authorized Official - Last Name:FARZAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:806-223-9489
Mailing Address - Street 1:6328 HAMPTON DR
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79109-6522
Mailing Address - Country:US
Mailing Address - Phone:806-223-9489
Mailing Address - Fax:
Practice Address - Street 1:3612 22ND PL
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79410-1318
Practice Address - Country:US
Practice Address - Phone:806-503-2600
Practice Address - Fax:806-503-2608
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-06
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX59951OtherMEDICARE