Provider Demographics
NPI:1235240136
Name:THE NORTH TEXAS CENTER FOR WOMENS HEALTH
Entity Type:Organization
Organization Name:THE NORTH TEXAS CENTER FOR WOMENS HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:RICHERSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:903-893-1116
Mailing Address - Street 1:3305 NORTH CALAIS
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75090
Mailing Address - Country:US
Mailing Address - Phone:903-893-1116
Mailing Address - Fax:903-893-0335
Practice Address - Street 1:3305 NORTH CALAIS
Practice Address - Street 2:SUITE 200
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75090
Practice Address - Country:US
Practice Address - Phone:903-893-1116
Practice Address - Fax:903-893-0335
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2008-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0799637Medicaid
TX0799637Medicaid