MEDICARE: INFINITY WOMENS HEALTHCARE

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	207V00000X	Obstetrics & Gynecology Physician

General Provider Information

NPI Number	:	1477530947
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INFINITY WOMENS HEALTHCARE

Provider Business Mailing Address
First Line	:	2301 S HAMPTON RD STE 200
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75224-1653
Country	:	US
Telephone Number	:	214-339-5336
Fax Number	:	214-339-5362

Provider Business Practice Location Address
First Line	:	2301 S HAMPTON RD STE 200
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75224-1653
Country	:	US
Telephone Number	:	214-339-5336
Fax Number	:	214-339-5362

Authorized Official
Title or Position	:	DOCTOR
Name	:	KATHERINE K BOYD
Credential	:	DO
Telephone Number	:	214-339-5336

Provider Enumeration Date	:	12/27/2005
Last Update Date	:	11/17/2022

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