Provider Demographics
NPI:1649798554
Name:WOMENS COMPREHENSIVE CLINIC FOR INTERNAL MEDICINE PLLC
Entity type:Organization
Organization Name:WOMENS COMPREHENSIVE CLINIC FOR INTERNAL MEDICINE PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ROSEMARY
Authorized Official - Middle Name:
Authorized Official - Last Name:CASTORENO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-333-0733
Mailing Address - Street 1:1611 N ALAMO ST STE 2
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78215-1381
Mailing Address - Country:US
Mailing Address - Phone:210-333-0733
Mailing Address - Fax:
Practice Address - Street 1:1611 N ALAMO ST STE 2
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78215-1381
Practice Address - Country:US
Practice Address - Phone:210-333-0733
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WOMENS COMPREHENSIVE CLINIC FOR INTERNAL MEDICINE PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-08-31
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center