Provider Demographics
NPI:1578243077
Name:WOMEN IN PINK
Entity Type:Organization
Organization Name:WOMEN IN PINK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:BUARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-335-6323
Mailing Address - Street 1:5408 RIDGESON DR
Mailing Address - Street 2:
Mailing Address - City:MCKINEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071
Mailing Address - Country:US
Mailing Address - Phone:469-335-6323
Mailing Address - Fax:
Practice Address - Street 1:2237 W PARKER RD
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75023-7800
Practice Address - Country:US
Practice Address - Phone:214-545-4764
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-19
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier