MEDICARE: AARON WOMEN'S HEALTH CENTER, M.D.P.A.

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	261QM2500X	Medical Specialty Clinic/Center	008177	TX

General Provider Information

NPI Number	:	1295886455
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AARON WOMEN'S HEALTH CENTER, M.D.P.A.

Provider Business Mailing Address
First Line	:	6546 LYNDON B JOHNSON FWY
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75240-6502
Country	:	US
Telephone Number	:	972-385-1333
Fax Number	:	972-385-1080

Provider Business Practice Location Address
First Line	:	6546 LYNDON B JOHNSON FWY
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75240-6502
Country	:	US
Telephone Number	:	972-385-1333
Fax Number	:	972-385-1080

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MS. BETTY TATE PETTIGREW
Credential	:
Telephone Number	:	972-385-1333

Provider Enumeration Date	:	01/15/2007
Last Update Date	:	08/22/2020

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