Provider Demographics
NPI:1700990454
Name:FEMALE SPECIALTY CARE INC
Entity Type:Organization
Organization Name:FEMALE SPECIALTY CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KALA
Authorized Official - Middle Name:R
Authorized Official - Last Name:DHARMA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-279-0559
Mailing Address - Street 1:5930 DEL ROY DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-2924
Mailing Address - Country:US
Mailing Address - Phone:469-644-8672
Mailing Address - Fax:866-904-7568
Practice Address - Street 1:3453 SAINT FRANCIS AVE
Practice Address - Street 2:SUITE 125
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75228-7199
Practice Address - Country:US
Practice Address - Phone:972-279-0559
Practice Address - Fax:866-904-7568
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-19
Last Update Date:2016-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX080220901Medicaid
TX080220901Medicaid