MEDICARE: DR. ROSALYN L. WOMACK D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	DO2025-0024	NM
2	2084P0800X	Psychiatry Physician	N6773	TX

General Provider Information

NPI Number	:	1194981696
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROSALYN L. WOMACK D.O.

Provider Business Mailing Address
First Line	:	6800 PARK TEN BLVD STE 200S
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78213-4293
Country	:	US
Telephone Number	:	210-261-1060
Fax Number	:	210-358-9183

Provider Business Practice Location Address
First Line	:	5372 FREDERICKSBURG RD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-3558
Country	:	US
Telephone Number	:	210-261-1600
Fax Number	:	210-615-5721

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/04/2008
Last Update Date	:	04/11/2025

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