Provider Demographics
NPI:1437457421
Name:DR. USUGAS WOMENS MANAGEMENT COMPANY INC
Entity Type:Organization
Organization Name:DR. USUGAS WOMENS MANAGEMENT COMPANY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ASTRID
Authorized Official - Middle Name:
Authorized Official - Last Name:LEON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-463-1811
Mailing Address - Street 1:PO BOX 2843
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75030-2843
Mailing Address - Country:US
Mailing Address - Phone:972-463-1811
Mailing Address - Fax:972-463-1927
Practice Address - Street 1:3705 LAKEVIEW PKWY STE 215
Practice Address - Street 2:
Practice Address - City:ROWLETT
Practice Address - State:TX
Practice Address - Zip Code:75088-4179
Practice Address - Country:US
Practice Address - Phone:972-463-1811
Practice Address - Fax:972-463-1927
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-01
Last Update Date:2011-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty