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NPI Code Detail

MEDICARE: FOUR SEASONS WOMEN'S HEALTH PA

MEDICARE: FOUR SEASONS WOMEN'S HEALTH PA
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
1207V00000XObstetrics & Gynecology Physician207V00000XTX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1207V00000XOTHERTXTAXONOMY
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1881897114
Entity Type Code : Organization
Provider Name (Legal Business Name) : FOUR SEASONS WOMEN'S HEALTH PA
Provider Business Mailing Address
First Line : 2017 RICKETY LN
Second Line :
City : TYLER
State : TX
Zip : 75703-1706
Country : US
Telephone Number : 903-533-8811
Fax Number : 903-593-5511
Provider Business Practice Location Address
First Line : 2017 RICKETY LN
Second Line :
City : TYLER
State : TX
Zip : 75703-1706
Country : US
Telephone Number : 903-533-8811
Fax Number : 903-593-5511
Authorized Official
Title or Position : OFFICE MANAGER
Name : MISS JONI N CORTEZ
Credential :
Telephone Number : 903-533-8811
Provider Enumeration Date : 06/06/2007
Last Update Date : 06/18/2014

Similar Medicare Providers

1316001753 — DR. SHERILYN A. WILLIS M.D.
Practice Location Address:
2017 RICKETY LN
TYLER, TX
75703-1706
Practice Phone: 903-533-8811
Practice Fax: 903-593-5511
1164586509 — DR. SUNNI S. BOREN M.D.
Practice Location Address:
2017 RICKETY LN
TYLER, TX
75703-1706
Practice Phone: 903-533-8811
Practice Fax: 903-593-5511
1467516807 — DR. KATHARINA A. KLOUDA M.D.
Practice Location Address:
2017 RICKETY LN
TYLER, TX
75703-1706
Practice Phone: 903-533-8811
Practice Fax: 903-593-5511
1578769659 — DR. JENNIFER DALE NEWTON M.D.
Practice Location Address:
2017 RICKETY LN
TYLER, TX
75703-1706
Practice Phone: 903-533-8811
Practice Fax: 903-593-5511
1164750543 — SHEILA RENEE LAYNE DO
Practice Location Address:
2017 RICKETY LN
TYLER, TX
75703-1706
Practice Phone: 903-533-8811
Practice Fax: 903-593-5511
1366849101 — MRS. ELIZABETH CROSS ROE P.A.-C
Practice Location Address:
2017 RICKETY LN
TYLER, TX
75703-1706
Practice Phone: 903-533-8811
Practice Fax:

Directions to “FOUR SEASONS WOMEN'S HEALTH PA ” Practice Location

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