Provider Demographics
NPI:1770874232
Name:GREENWOOD HEALTHCARE SPECIALISTS FOR WOMEN, PLLC
Entity type:Organization
Organization Name:GREENWOOD HEALTHCARE SPECIALISTS FOR WOMEN, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TAJAUNIA
Authorized Official - Middle Name:T
Authorized Official - Last Name:MONROE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-794-5800
Mailing Address - Street 1:1216 EAST APACHE STREET NORTH
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74106-3938
Mailing Address - Country:US
Mailing Address - Phone:918-794-5800
Mailing Address - Fax:918-794-7775
Practice Address - Street 1:1216 E APACHE ST
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74106-3938
Practice Address - Country:US
Practice Address - Phone:918-794-5800
Practice Address - Fax:918-794-7775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-02
Last Update Date:2014-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK24674207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty