Provider Demographics
NPI:1245567304
Name:CARE FOR WOMEN CLEBURNE
Entity Type:Organization
Organization Name:CARE FOR WOMEN CLEBURNE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:
Authorized Official - Last Name:PIPKIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:817-556-7700
Mailing Address - Street 1:201 WALLS DRIVE
Mailing Address - Street 2:SUITE 503
Mailing Address - City:CLEBURNE
Mailing Address - State:TX
Mailing Address - Zip Code:76033-4006
Mailing Address - Country:US
Mailing Address - Phone:817-556-7700
Mailing Address - Fax:817-556-7725
Practice Address - Street 1:201 WALLS DR
Practice Address - Street 2:SUITE 503
Practice Address - City:CLEBURNE
Practice Address - State:TX
Practice Address - Zip Code:76033-4007
Practice Address - Country:US
Practice Address - Phone:817-556-7700
Practice Address - Fax:817-556-7725
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-11
Last Update Date:2010-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL5097207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty