MEDICARE: WOMENS HEALTHCARE CENTER INC.

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	261QA0005X	Ambulatory Family Planning Facility	558735	TX
2	363LW0102X	Women's Health Nurse Practitioner

General Provider Information

NPI Number	:	1457598757
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WOMENS HEALTHCARE CENTER INC.

Provider Business Mailing Address
First Line	:	1208 TAYLOR CREEK DR
Second Line	:
City	:	MESQUITE
State	:	TX
Zip	:	75181-4234
Country	:	US
Telephone Number	:	469-387-8025
Fax Number	:	214-703-6514

Provider Business Practice Location Address
First Line	:	2914 S BUCKNER BLVD STE B
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75227-6907
Country	:	US
Telephone Number	:	214-275-5256
Fax Number	:	877-289-8708

Authorized Official
Title or Position	:	CEO
Name	:	DR. SHERRY L TENISON
Credential	:	WHNP
Telephone Number	:	469-387-8025

Provider Enumeration Date	:	01/08/2009
Last Update Date	:	06/21/2023

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