Provider Demographics
NPI:1841571445
Name:AP WELLNESS CLINIC FOR WOMEN, INC.
Entity Type:Organization
Organization Name:AP WELLNESS CLINIC FOR WOMEN, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:PAGE
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:361-758-7300
Mailing Address - Street 1:524 S COMMERCIAL ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:ARANSAS PASS
Mailing Address - State:TX
Mailing Address - Zip Code:78336-1810
Mailing Address - Country:US
Mailing Address - Phone:361-758-7300
Mailing Address - Fax:361-758-9700
Practice Address - Street 1:524 S COMMERCIAL ST
Practice Address - Street 2:SUITE B
Practice Address - City:ARANSAS PASS
Practice Address - State:TX
Practice Address - Zip Code:78336-1810
Practice Address - Country:US
Practice Address - Phone:361-758-7300
Practice Address - Fax:361-758-9700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-09
Last Update Date:2011-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX553589363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's HealthGroup - Multi-Specialty