Provider Demographics
NPI:1942653514
Name:GENESYS WOMEN SERVICES PA
Entity Type:Organization
Organization Name:GENESYS WOMEN SERVICES PA
Other - Org Name:GENESYS WOMEN OBGYN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAMA
Authorized Official - Middle Name:ALEXANDER
Authorized Official - Last Name:ZIWORITIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-532-7068
Mailing Address - Street 1:11920 WESTHEIMER RD
Mailing Address - Street 2:SUITE E
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-6676
Mailing Address - Country:US
Mailing Address - Phone:832-520-8070
Mailing Address - Fax:
Practice Address - Street 1:12000 RICHMOND AVE STE 215
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-2428
Practice Address - Country:US
Practice Address - Phone:832-532-7068
Practice Address - Fax:281-201-2117
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-19
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP2178207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty