Provider Demographics
NPI:1376202481
Name:SOUTHERN CHARM WOMENS HEALTH, PLLC
Entity Type:Organization
Organization Name:SOUTHERN CHARM WOMENS HEALTH, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:SLABAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:469-897-4050
Mailing Address - Street 1:1005 W RALPH HALL PKWY STE 217
Mailing Address - Street 2:
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75032-6610
Mailing Address - Country:US
Mailing Address - Phone:469-897-4050
Mailing Address - Fax:469-897-4049
Practice Address - Street 1:1005 W RALPH HALL PKWY STE 217
Practice Address - Street 2:
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75032-6610
Practice Address - Country:US
Practice Address - Phone:469-897-4050
Practice Address - Fax:469-897-4049
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-16
Last Update Date:2021-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty