Provider Demographics
NPI:1639900830
Name:PROSPER WOMENS HEALTH PLLC
Entity type:Organization
Organization Name:PROSPER WOMENS HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OBGYN/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JOLAIYA
Authorized Official - Middle Name:Y
Authorized Official - Last Name:FATUROTI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-517-3452
Mailing Address - Street 1:2116 AUSTIN LN
Mailing Address - Street 2:
Mailing Address - City:PROSPER
Mailing Address - State:TX
Mailing Address - Zip Code:75078-1657
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1400 N COIT RD STE 1504
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-6660
Practice Address - Country:US
Practice Address - Phone:469-215-1647
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-09
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty