Provider Demographics
NPI:1154315802
Name:WOMEN PARTNERS IN HEALTH
Entity Type:Organization
Organization Name:WOMEN PARTNERS IN HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RICK
Authorized Official - Middle Name:
Authorized Official - Last Name:WINDHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-279-6710
Mailing Address - Street 1:1305 W 34TH ST
Mailing Address - Street 2:SUITE 308
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78705-1923
Mailing Address - Country:US
Mailing Address - Phone:512-459-8082
Mailing Address - Fax:512-421-2010
Practice Address - Street 1:1305 W 34TH ST
Practice Address - Street 2:SUITE 308
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-1922
Practice Address - Country:US
Practice Address - Phone:512-459-8082
Practice Address - Fax:512-421-2010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-08
Last Update Date:2011-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX710924363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX094063701Medicaid
TX00R05CMedicare ID - Type Unspecified