Healthcare Provider Details

I. General information

NPI: 1619363041
Provider Name (Legal Business Name): SOUTH WIND WOMEN'S CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2015
Last Update Date: 12/29/2025
Certification Date: 12/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1240 SW 44TH ST
OKLAHOMA CITY OK
73109-3604
US

IV. Provider business mailing address

5107 E KELLOGG DR
WICHITA KS
67218-1625
US

V. Phone/Fax

Practice location:
  • Phone: 316-260-6934
  • Fax:
Mailing address:
  • Phone: 316-260-6934
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: BRYAN LOZANO
Title or Position: CAPO
Credential:
Phone: 316-558-5808