Provider Demographics
NPI:1114906633
Name:THE WOMENS CENTER OF TARRANT COUNTY INC
Entity Type:Organization
Organization Name:THE WOMENS CENTER OF TARRANT COUNTY INC
Other - Org Name:THE WOMENS CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:M
Authorized Official - Last Name:HILGART
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:817-927-4006
Mailing Address - Street 1:1723 HEMPHILL
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76110
Mailing Address - Country:US
Mailing Address - Phone:817-927-4040
Mailing Address - Fax:817-924-2562
Practice Address - Street 1:1723 HEMPHILL
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76110
Practice Address - Country:US
Practice Address - Phone:817-927-4040
Practice Address - Fax:817-924-2562
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00479WMedicare ID - Type Unspecified