Provider Demographics
NPI:1396483210
Name:PRM TEXAS GYNECOLOGY PC
Entity type:Organization
Organization Name:PRM TEXAS GYNECOLOGY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT, OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:SOLIMINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-805-3873
Mailing Address - Street 1:2090 PALM BEACH LAKES BLVD STE 700
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-6508
Mailing Address - Country:US
Mailing Address - Phone:561-805-3873
Mailing Address - Fax:
Practice Address - Street 1:9301 N CENTRAL EXPY STE 410
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-0805
Practice Address - Country:US
Practice Address - Phone:972-729-6044
Practice Address - Fax:469-729-6044
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PRM OF TEXAS PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-05-20
Last Update Date:2022-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Multi-Specialty