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NPI Code Detail

MEDICARE: WOMENS SPECIALTY CENTER PA

MEDICARE: WOMENS SPECIALTY CENTER PA
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
1207Q00000XFamily Medicine Physician
2174400000XSpecialistH6974TX

Other Identifiers

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

General Provider Information

NPI Number : 1174553416
Entity Type Code : Organization
Provider Name (Legal Business Name) : WOMENS SPECIALTY CENTER PA
Provider Business Mailing Address
First Line : 1135 N BISHOP AVE
Second Line :
City : DALLAS
State : TX
Zip : 75208-4114
Country : US
Telephone Number : 214-942-3100
Fax Number :
Provider Business Practice Location Address
First Line : 1135 N BISHOP AVE
Second Line :
City : DALLAS
State : TX
Zip : 75208-4114
Country : US
Telephone Number : 214-942-3100
Fax Number : 214-948-3697
Authorized Official
Title or Position : OWNER
Name : GONZALO VENEGAS
Credential : M.D.
Telephone Number : 214-942-3100
Provider Enumeration Date : 07/03/2006
Last Update Date : 03/31/2023

Similar Medicare Providers

1730112988 — GONZALO VENEGAS MD
Practice Location Address:
1135 N BISHOP AVE
DALLAS, TX
75208-4114
Practice Phone: 214-942-3100
Practice Fax: 214-942-8030
1043237761 — DR. ALFREDO GUILLERMO ANTONETTI M.D.
Practice Location Address:
1135 N BISHOP AVE
DALLAS, TX
75208-4114
Practice Phone: 214-942-3100
Practice Fax: 214-948-3697
1437353026 — DR. JEFFREY SCOTT SANDATE MD
Practice Location Address:
1135 N BISHOP AVE
DALLAS, TX
75208-4114
Practice Phone: 214-942-3100
Practice Fax:
1568986354 — FRANCES JACQUELINE COBB MD
Practice Location Address:
1135 N BISHOP AVE
DALLAS, TX
75208-4114
Practice Phone: 214-942-3100
Practice Fax:
1386104677 — DR. AKSHAY GOSWAMI MD
Practice Location Address:
1135 N BISHOP AVE
DALLAS, TX
75208-4114
Practice Phone: 214-542-6620
Practice Fax:
1962043562 — CELYNNE JOELLE BEAUDOIN
Practice Location Address:
1135 N BISHOP AVE
DALLAS, TX
75208-4114
Practice Phone: 214-942-3100
Practice Fax: 214-948-3697

Directions to “WOMENS SPECIALTY CENTER PA ” Practice Location

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