1497899090 NPI number — SOUTHWEST HOUSTON WOMEN'S CENTER

Table of content: (NPI 1497899090)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1497899090 NPI number — SOUTHWEST HOUSTON WOMEN'S CENTER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SOUTHWEST HOUSTON WOMEN'S CENTER
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:
1497899090
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/28/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5420 DASHWOOD DR
Provider Second Line Business Mailing Address:
STE. 210
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77081-5357
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
713-839-9898
Provider Business Mailing Address Fax Number:
713-839-9494

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5420 DASHWOOD DR
Provider Second Line Business Practice Location Address:
STE. 210
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77081-5357
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-839-9898
Provider Business Practice Location Address Fax Number:
713-839-9494
Provider Enumeration Date:
02/16/2007

Additional Information

Authorized Official

Authorized Official Last Name:
OATES
Authorized Official First Name:
MYRTLE
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
713-839-9898

Provider Taxonomy Codes

  • Taxonomy code: 261QM2500X , with the licence number:  J3565 , 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)

  • Identifier: 1952335986 . This is a "NPI 1" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com