Provider Demographics
NPI:1780717041
Name:GIRLS TO WOMEN HEALTH AND WELLNESS
Entity type:Organization
Organization Name:GIRLS TO WOMEN HEALTH AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DANA
Authorized Official - Middle Name:
Authorized Official - Last Name:RUBIN REMER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-733-6565
Mailing Address - Street 1:16980 DALLAS PARKWAY
Mailing Address - Street 2:SUITE 204
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75248
Mailing Address - Country:US
Mailing Address - Phone:972-733-6565
Mailing Address - Fax:972-733-6564
Practice Address - Street 1:16980 DALLAS PARKWAY
Practice Address - Street 2:SUITE 204
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75248
Practice Address - Country:US
Practice Address - Phone:972-733-6565
Practice Address - Fax:972-733-6564
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-14
Last Update Date:2013-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX=========OtherTAX ID