MEDICARE: CAPITAL WOMEN'S CARE, L.L.C.

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

General Provider Information

NPI Number	:	1578384541
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAPITAL WOMEN'S CARE, L.L.C.

Provider Business Mailing Address
First Line	:	5801 POSTAL RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44181-2184
Country	:	US
Telephone Number	:	301-340-8339
Fax Number	:

Provider Business Practice Location Address
First Line	:	6569 N CHARLES ST STE 304
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21204-5815
Country	:	US
Telephone Number	:	410-828-8367
Fax Number	:	410-583-7470

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DAMON HOU
Credential	:
Telephone Number	:	301-340-8339

Provider Enumeration Date	:	10/22/2024
Last Update Date	:	10/22/2024

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Directions to “CAPITAL WOMEN'S CARE, L.L.C. ” Practice Location

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