Provider Demographics
NPI:1689904799
Name:TENISON WOMEN'S HEALTH CENTER INC
Entity Type:Organization
Organization Name:TENISON WOMEN'S HEALTH CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHERRY
Authorized Official - Middle Name:L
Authorized Official - Last Name:TENISON
Authorized Official - Suffix:
Authorized Official - Credentials:WHNP
Authorized Official - Phone:214-703-6527
Mailing Address - Street 1:5505 BROADWAY BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75043-3671
Mailing Address - Country:US
Mailing Address - Phone:214-703-6527
Mailing Address - Fax:214-703-6514
Practice Address - Street 1:5505 BROADWAY BLVD STE B
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75043-3671
Practice Address - Country:US
Practice Address - Phone:214-703-6527
Practice Address - Fax:877-289-8708
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-12
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX558735261QA0005X
363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's HealthGroup - Multi-Specialty
No261QA0005XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Family Planning Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1238302OtherUNITED HEALTHCARE
TX156721602Medicaid
TX156721603Medicaid
TX156721604Medicaid