Provider Demographics
NPI:1477530947
Name:INFINITY WOMENS HEALTHCARE
Entity Type:Organization
Organization Name:INFINITY WOMENS HEALTHCARE
Other - Org Name:CONNIE S ROBERTS KATHERINE BOYD MARICELA CANTU
Other - Org Type:Other Name
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:K
Authorized Official - Last Name:BOYD
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:214-339-5336
Mailing Address - Street 1:2301 S HAMPTON RD STE 200
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75224-1653
Mailing Address - Country:US
Mailing Address - Phone:214-339-5336
Mailing Address - Fax:214-339-5362
Practice Address - Street 1:2301 S HAMPTON RD STE 200
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75224-1653
Practice Address - Country:US
Practice Address - Phone:214-339-5336
Practice Address - Fax:214-339-5362
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-27
Last Update Date:2022-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXG57460Medicare UPIN
00594NMedicare ID - Type Unspecified