Provider Demographics
NPI:1487850061
Name:TOTAL WOMAN HEALTHCARE PA
Entity Type:Organization
Organization Name:TOTAL WOMAN HEALTHCARE PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-453-6773
Mailing Address - Street 1:5751 BLYTHEWOOD
Mailing Address - Street 2:#700
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77021-5403
Mailing Address - Country:US
Mailing Address - Phone:713-440-0526
Mailing Address - Fax:713-450-2930
Practice Address - Street 1:5751 BYLTHEWOOD ST
Practice Address - Street 2:SUITE 700
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77021-5402
Practice Address - Country:US
Practice Address - Phone:713-453-6773
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-21
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF6483207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0055BDMedicare PIN