Healthcare Provider Details

I. General information

NPI: 1629095617
Provider Name (Legal Business Name): INSTITUTE FOR WOMEN'S HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2006
Last Update Date: 10/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1210 ARION PKWY
SAN ANTONIO TX
78216-2880
US

IV. Provider business mailing address

1210 ARION PKWY
SAN ANTONIO TX
78216-2880
US

V. Phone/Fax

Practice location:
  • Phone: 210-349-9300
  • Fax: 210-366-2558
Mailing address:
  • Phone: 210-349-9300
  • Fax: 210-366-2558

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: ANN ROSS
Title or Position: CREDENTIALING SPECIALIST
Credential:
Phone: 210-349-9300