MEDICARE: WAXAHACHIE WOMENS HEALTH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician		TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043229966
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WAXAHACHIE WOMENS HEALTH

Provider Business Mailing Address
First Line	:	2460 N IH 35 E STE 165
Second Line	:
City	:	WAXAHACHIE
State	:	TX
Zip	:	75165-5258
Country	:	US
Telephone Number	:	972-938-3493
Fax Number	:	972-937-5608

Provider Business Practice Location Address
First Line	:	2460 N IH 35 E STE 165
Second Line	:
City	:	WAXAHACHIE
State	:	TX
Zip	:	75165-5258
Country	:	US
Telephone Number	:	972-938-3493
Fax Number	:	972-937-5608

Authorized Official
Title or Position	:	CO-OWNER
Name	:	DR. CYNTHIA NICOLE DAVIS
Credential	:	M.D.
Telephone Number	:	972-938-3493

Provider Enumeration Date	:	08/07/2006
Last Update Date	:	02/07/2023

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Directions to “WAXAHACHIE WOMENS HEALTH ” Practice Location

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