Healthcare Provider Details

I. General information

NPI: 1689087587
Provider Name (Legal Business Name): BE. WOMEN'S HEALTH AND WELLNESS, P.L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2014
Last Update Date: 08/13/2021
Certification Date: 08/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13052 DALLAS PARKWAY BUILDING 200, SUITE 210
FRISCO TX
75034
US

IV. Provider business mailing address

13052 DALLAS PKWY STE 210
FRISCO TX
75033-4241
US

V. Phone/Fax

Practice location:
  • Phone: 940-365-9001
  • Fax: 940-365-9009
Mailing address:
  • Phone: 940-365-9001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberM2774
License Number StateTX

VIII. Authorized Official

Name: DAVID BARTOS
Title or Position: CFO
Credential:
Phone: 940-365-9001