Healthcare Provider Details
I. General information
NPI: 1376355115
Provider Name (Legal Business Name): CAPITAL WOMEN'S CARE, L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/20/2025
Last Update Date: 01/20/2025
Certification Date: 01/20/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3140 GRACEFIELD RD
SILVER SPRING MD
20904-5851
US
IV. Provider business mailing address
5801 POSTAL RD UNIT 81310
CLEVELAND OH
44181-2112
US
V. Phone/Fax
- Phone: 301-897-9817
- Fax: 301-897-0832
- Phone: 301-340-8339
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DAMON
HOU
Title or Position: PRESIDENT
Credential: MD
Phone: 301-340-8339