Healthcare Provider Details

I. General information

NPI: 1043599343
Provider Name (Legal Business Name): EXCLUSIVE WOMENS HEALTHCARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2011
Last Update Date: 12/08/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8714 SPRING CYPRESS RD SUITE 200
SPRING TX
77379-3395
US

IV. Provider business mailing address

8714 SPRING CYPRESS RD SUITE 200
SPRING TX
77379-3395
US

V. Phone/Fax

Practice location:
  • Phone: 281-257-9394
  • Fax: 281-454-7691
Mailing address:
  • Phone: 281-257-9394
  • Fax: 281-454-7691

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number
License Number State

VIII. Authorized Official

Name: JEANNE JIAN SMITH
Title or Position: PRESIDENT
Credential: M.D.
Phone: 281-257-9394