1437457421 NPI number — DR. USUGAS WOMENS MANAGEMENT COMPANY INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437457421 NPI number — DR. USUGAS WOMENS MANAGEMENT COMPANY INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DR. USUGAS WOMENS MANAGEMENT COMPANY INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1437457421
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/01/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 2843
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ROWLETT
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75030-2843
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
972-463-1811
Provider Business Mailing Address Fax Number:
972-463-1927

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3705 LAKEVIEW PKWY STE 215
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ROWLETT
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75088-4179
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
972-463-1811
Provider Business Practice Location Address Fax Number:
972-463-1927
Provider Enumeration Date:
03/01/2011

Additional Information

Authorized Official

Authorized Official Last Name:
LEON
Authorized Official First Name:
ASTRID
Authorized Official Middle Name:
Authorized Official Title or Position:
BILLING MANAGER
Authorized Official Telephone Number:
972-463-1811

Provider Taxonomy Codes

  • Taxonomy code: 207V00000X , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com