Provider Demographics
NPI:1659400059
Name:WHOLE WOMAN'S HEALTH OF AUSTIN, LP
Entity Type:Organization
Organization Name:WHOLE WOMAN'S HEALTH OF AUSTIN, LP
Other - Org Name:WHOLE WOMAN'S HEALTH OF AUSTIN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:HAGSTROM MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-250-1005
Mailing Address - Street 1:8401 N I H 35
Mailing Address - Street 2:SUITE 1A
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78753-5751
Mailing Address - Country:US
Mailing Address - Phone:512-835-6691
Mailing Address - Fax:512-250-1005
Practice Address - Street 1:8401 N I H 35
Practice Address - Street 2:SUITE 200
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78753-5751
Practice Address - Country:US
Practice Address - Phone:512-250-1005
Practice Address - Fax:512-250-1066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty