Provider Demographics
NPI:1952703373
Name:UNIFIED WOMEN'S HEALTHCARE OF TEXAS PLLC
Entity Type:Organization
Organization Name:UNIFIED WOMEN'S HEALTHCARE OF TEXAS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, CREDENTIALING
Authorized Official - Prefix:MS
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:N
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-300-2410
Mailing Address - Street 1:PO BOX 14588
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-4038
Mailing Address - Country:US
Mailing Address - Phone:561-300-2410
Mailing Address - Fax:561-953-4146
Practice Address - Street 1:15303 DALLAS PKWY STE 650
Practice Address - Street 2:
Practice Address - City:ADDISON
Practice Address - State:TX
Practice Address - Zip Code:75001-6777
Practice Address - Country:US
Practice Address - Phone:561-300-2410
Practice Address - Fax:561-953-4146
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-17
Last Update Date:2021-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty