Healthcare Provider Details

I. General information

NPI: 1609268960
Provider Name (Legal Business Name): THE CENTER FOR WOMENS SEXUAL HEALTH, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2015
Last Update Date: 09/04/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1315 ST JOSEPH PKWY SUITE 1306
HOUSTON TX
77002-8233
US

IV. Provider business mailing address

4827 BELLAIRE BLVD
BELLAIRE TX
77401-4421
US

V. Phone/Fax

Practice location:
  • Phone: 832-924-8788
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VF0040X
TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
License NumberK7034
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code2088F0040X
TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Urology) Physician
License NumberK7034
License Number StateTX

VIII. Authorized Official

Name: CHRIS JAYNE
Title or Position: OWNER
Credential: MD
Phone: 832-924-8788