Healthcare Provider Details

I. General information

NPI: 1093766289
Provider Name (Legal Business Name): CAPITAL WOMEN'S CARE, L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2006
Last Update Date: 10/25/2024
Certification Date: 10/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

61 THOMAS JOHNSON DR
FREDERICK MD
21702-4301
US

IV. Provider business mailing address

61 THOMAS JOHNSON DR
FREDERICK MD
21702-4301
US

V. Phone/Fax

Practice location:
  • Phone: 301-663-6171
  • Fax: 301-695-4469
Mailing address:
  • Phone: 301-663-6171
  • Fax: 301-695-4469

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License NumberA1425
License Number StateMD

VIII. Authorized Official

Name: DR. DAMON HOU
Title or Position: MEDICAL DIRECTOR
Credential:
Phone: 301-340-8339