MEDICARE: WOMEN'S HEALTH BOUTIQUE

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	332B00000X	Durable Medical Equipment & Medical Supplies	0085505	TX

General Provider Information

NPI Number	:	1760537195
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WOMEN'S HEALTH BOUTIQUE

Provider Business Mailing Address
First Line	:	2270 W HOLCOMBE BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-2008
Country	:	US
Telephone Number	:	713-592-6023
Fax Number	:	713-592-6029

Provider Business Practice Location Address
First Line	:	2270 W HOLCOMBE BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-2008
Country	:	US
Telephone Number	:	713-592-6023
Fax Number	:	713-592-6029

Authorized Official
Title or Position	:	OWNER
Name	:	MS. ROSEMARY BROOKS
Credential	:
Telephone Number	:	713-592-6023

Provider Enumeration Date	:	01/24/2007
Last Update Date	:	08/22/2020

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Directions to “WOMEN'S HEALTH BOUTIQUE ” Practice Location

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