Provider Demographics
NPI:1659591196
Name:HEALTH CARE FOR WOMEN PA
Entity Type:Organization
Organization Name:HEALTH CARE FOR WOMEN PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MARYANN
Authorized Official - Middle Name:E
Authorized Official - Last Name:PREWITT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-380-1099
Mailing Address - Street 1:399 W CAMPBELL RD
Mailing Address - Street 2:STE # 304
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-3595
Mailing Address - Country:US
Mailing Address - Phone:972-380-1099
Mailing Address - Fax:972-380-0955
Practice Address - Street 1:399 W CAMPBELL RD
Practice Address - Street 2:STE # 304
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-3595
Practice Address - Country:US
Practice Address - Phone:972-380-1099
Practice Address - Fax:972-380-0955
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH8337207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty