Healthcare Provider Details

I. General information

NPI: 1538981162
Provider Name (Legal Business Name): CAPITAL WOMEN'S CARE, L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2024
Last Update Date: 10/25/2024
Certification Date: 10/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3430 WORTHINGTON BOULEVARD SUITE 202
URBANA MD
21704-7019
US

IV. Provider business mailing address

5801 POSTAL ROAD
CLEVELAND OH
44181-2164
US

V. Phone/Fax

Practice location:
  • Phone: 240-699-0003
  • Fax: 240-699-0017
Mailing address:
  • Phone: 301-340-8339
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

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