Provider Demographics
NPI:1407851447
Name:WOMEN'S HEALTH SPECIALISTS, P.A.
Entity Type:Organization
Organization Name:WOMEN'S HEALTH SPECIALISTS, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RUBEN
Authorized Official - Middle Name:D
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-423-9977
Mailing Address - Street 1:1821 SOUTH SESAME SQ.
Mailing Address - Street 2:SUITE #5
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550
Mailing Address - Country:US
Mailing Address - Phone:956-423-9977
Mailing Address - Fax:956-428-2777
Practice Address - Street 1:1821 SOUTH SESAME SQ.
Practice Address - Street 2:SUITE #5
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550
Practice Address - Country:US
Practice Address - Phone:956-423-9977
Practice Address - Fax:956-428-2777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-16
Last Update Date:2011-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF1783207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00887ROtherBCBSTX
TX147094002Medicaid
TX00887RMedicare PIN