Provider Demographics
NPI:1669988465
Name:NACOGDOCHES WOMENS CENTER, PLLC
Entity type:Organization
Organization Name:NACOGDOCHES WOMENS CENTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KYLE
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:MCMORRIES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:936-560-2666
Mailing Address - Street 1:4710 NE STALLINGS DR
Mailing Address - Street 2:
Mailing Address - City:NACOGDOCHES
Mailing Address - State:TX
Mailing Address - Zip Code:75965-1615
Mailing Address - Country:US
Mailing Address - Phone:936-560-2666
Mailing Address - Fax:936-560-2681
Practice Address - Street 1:4710 NE STALLINGS DR
Practice Address - Street 2:
Practice Address - City:NACOGDOCHES
Practice Address - State:TX
Practice Address - Zip Code:75965-1615
Practice Address - Country:US
Practice Address - Phone:936-560-2666
Practice Address - Fax:936-560-2681
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-17
Last Update Date:2017-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty