=====================================================
General NPI Number Information
=====================================================
NPI Number | 1407851447
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | WOMEN'S HEALTH SPECIALISTS, P.A.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/16/2005
-----------------------------------------------------
Last Update Date | 06/03/2011
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1821 SOUTH SESAME SQ. SUITE #5
-----------------------------------------------------
City | HARLINGEN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78550
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 956-423-9977
-----------------------------------------------------
Fax | 956-428-2777
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1821 SOUTH SESAME SQ. SUITE #5
-----------------------------------------------------
City | HARLINGEN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78550
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 956-423-9977
-----------------------------------------------------
Fax | 956-428-2777
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT/OWNER
-----------------------------------------------------
Name | DR. RUBEN D. MARTINEZ
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 956-423-9977
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207V00000X
-----------------------------------------------------
Taxonomy Name | Obstetrics & Gynecology Physician
-----------------------------------------------------
License Number | F1783
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------