MEDICARE: EMPOWER WOMEN'S HEALTH, LLC

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	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1144810151
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMPOWER WOMEN'S HEALTH, LLC

Provider Business Mailing Address
First Line	:	1120 NASA PKWY STE 320
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77058-3366
Country	:	US
Telephone Number	:	346-677-0150
Fax Number	:

Provider Business Practice Location Address
First Line	:	1120 NASA PKWY STE 320
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77058-3366
Country	:	US
Telephone Number	:	346-677-0150
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. BRITTANY SUDBROOK
Credential	:	PT
Telephone Number	:	346-677-0150

Provider Enumeration Date	:	01/23/2021
Last Update Date	:	01/25/2024

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