Provider Demographics
NPI:1659356251
Name:PASADENA WOMEN'S CENTER
Entity Type:Organization
Organization Name:PASADENA WOMEN'S CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:S
Authorized Official - Last Name:MONTOYA
Authorized Official - Suffix:
Authorized Official - Credentials:M D
Authorized Official - Phone:713-941-7721
Mailing Address - Street 1:3919 WOODLAWN AVE
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77504-1996
Mailing Address - Country:US
Mailing Address - Phone:713-941-7721
Mailing Address - Fax:713-946-1950
Practice Address - Street 1:3919 WOODLAWN AVE
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77504-1996
Practice Address - Country:US
Practice Address - Phone:713-941-7721
Practice Address - Fax:713-946-1950
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00T48RMedicare ID - Type Unspecified