Provider Demographics
NPI:1679825681
Name:WOMEN'S HEALTH INSTITUTE OF SOUTH TEXAS,PLLC
Entity Type:Organization
Organization Name:WOMEN'S HEALTH INSTITUTE OF SOUTH TEXAS,PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RODOLFO
Authorized Official - Middle Name:MANUEL
Authorized Official - Last Name:LOZANO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-683-6073
Mailing Address - Street 1:2821 MICHAEL ANGELO
Mailing Address - Street 2:SUITE 100
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-1404
Mailing Address - Country:US
Mailing Address - Phone:956-683-6073
Mailing Address - Fax:956-686-7507
Practice Address - Street 1:2821 MICHAEL ANGELO
Practice Address - Street 2:SUITE 100
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-1404
Practice Address - Country:US
Practice Address - Phone:956-683-6073
Practice Address - Fax:956-686-7507
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-15
Last Update Date:2014-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty