Provider Demographics
NPI:1982212643
Name:ROYSE CITY WOMEN'S WELLNESS
Entity Type:Organization
Organization Name:ROYSE CITY WOMEN'S WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NP
Authorized Official - Prefix:MRS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:HENSLEY
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:972-916-8371
Mailing Address - Street 1:513 PLUM DR
Mailing Address - Street 2:
Mailing Address - City:JOSEPHINE
Mailing Address - State:TX
Mailing Address - Zip Code:75173-8536
Mailing Address - Country:US
Mailing Address - Phone:972-916-8371
Mailing Address - Fax:
Practice Address - Street 1:200 N ARCH ST
Practice Address - Street 2:
Practice Address - City:ROYSE CITY
Practice Address - State:TX
Practice Address - Zip Code:75189-8631
Practice Address - Country:US
Practice Address - Phone:972-884-4570
Practice Address - Fax:949-655-8604
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-20
Last Update Date:2020-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & GynecologyGroup - Single Specialty