Provider Demographics
NPI:1447578471
Name:CAMELIA WOMEN CENTER
Entity Type:Organization
Organization Name:CAMELIA WOMEN CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NOUSHIN
Authorized Official - Middle Name:
Authorized Official - Last Name:FIROUZBAKHT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-786-0140
Mailing Address - Street 1:3501 N MACARTHUR BLVD
Mailing Address - Street 2:SUITE 510
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75062-3651
Mailing Address - Country:US
Mailing Address - Phone:972-786-0140
Mailing Address - Fax:972-786-0142
Practice Address - Street 1:3501 N MACARTHUR BLVD
Practice Address - Street 2:SUITE 510
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062-3651
Practice Address - Country:US
Practice Address - Phone:972-786-0140
Practice Address - Fax:972-786-0142
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-14
Last Update Date:2010-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM2619207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty