Provider Demographics
NPI:1295886455
Name:AARON WOMEN'S HEALTH CENTER, M.D.P.A.
Entity type:Organization
Organization Name:AARON WOMEN'S HEALTH CENTER, M.D.P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:BETTY
Authorized Official - Middle Name:TATE
Authorized Official - Last Name:PETTIGREW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-385-1333
Mailing Address - Street 1:6546 LYNDON B JOHNSON FWY
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75240-6502
Mailing Address - Country:US
Mailing Address - Phone:972-385-1333
Mailing Address - Fax:972-385-1080
Practice Address - Street 1:6546 LYNDON B JOHNSON FWY
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75240-6502
Practice Address - Country:US
Practice Address - Phone:972-385-1333
Practice Address - Fax:972-385-1080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008177261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty