Provider Demographics
NPI:1235219866
Name:LAREDO WOMENS CENTER, P.A.
Entity Type:Organization
Organization Name:LAREDO WOMENS CENTER, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ENRIQUE
Authorized Official - Middle Name:F
Authorized Official - Last Name:BENAVIDES
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:956-727-7303
Mailing Address - Street 1:1020 E HILLSIDE RD
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-3287
Mailing Address - Country:US
Mailing Address - Phone:956-727-7303
Mailing Address - Fax:956-726-1224
Practice Address - Street 1:1020 E HILLSIDE RD
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-3287
Practice Address - Country:US
Practice Address - Phone:956-727-7303
Practice Address - Fax:956-726-1224
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
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty