Provider Demographics
NPI:1942753132
Name:WWFM PLLC
Entity Type:Organization
Organization Name:WWFM PLLC
Other - Org Name:WOMEN'S WELLNESS AT FLOWER MOUND
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING COORIDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:VICTORIA 'TORI'
Authorized Official - Middle Name:A
Authorized Official - Last Name:QUINTANA
Authorized Official - Suffix:
Authorized Official - Credentials:AO
Authorized Official - Phone:972-355-9436
Mailing Address - Street 1:3051 CHURCHILL DR
Mailing Address - Street 2:SUITE 220
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75022-2713
Mailing Address - Country:US
Mailing Address - Phone:972-355-9436
Mailing Address - Fax:214-513-2244
Practice Address - Street 1:3051 CHURCHILL DR
Practice Address - Street 2:SUITE 220
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75022-2713
Practice Address - Country:US
Practice Address - Phone:972-355-9436
Practice Address - Fax:214-513-2244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-25
Last Update Date:2017-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty