Healthcare Provider Details

I. General information

NPI: 1962420794
Provider Name (Legal Business Name): CARING CENTER FOR WOMEN, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2006
Last Update Date: 01/27/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1305 WONDER WORLD DR STE 209
SAN MARCOS TX
78666-7541
US

IV. Provider business mailing address

1305 WONDER WORLD DR STE 209
SAN MARCOS TX
78666-7541
US

V. Phone/Fax

Practice location:
  • Phone: 512-396-7575
  • Fax: 512-396-7555
Mailing address:
  • Phone: 512-396-7575
  • Fax: 512-396-7555

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: MRS. TERESA IRWIN
Title or Position: PRESIDENT
Credential: MD
Phone: 512-396-7575