Provider Demographics
NPI:1649951039
Name:LAREDO GYNECOLOGY PLLC
Entity type:Organization
Organization Name:LAREDO GYNECOLOGY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:ADRIENNE
Authorized Official - Middle Name:WENDY
Authorized Official - Last Name:ASKEW
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-415-5700
Mailing Address - Street 1:7913 MCPHERSON RD STE 110
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78045-2807
Mailing Address - Country:US
Mailing Address - Phone:956-725-4569
Mailing Address - Fax:
Practice Address - Street 1:7913 MCPHERSON RD STE 110
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78045-2807
Practice Address - Country:US
Practice Address - Phone:956-725-4569
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-27
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center