MEDICARE: GENESYS WOMEN SERVICES 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
1	207V00000X	Obstetrics & Gynecology Physician	P2178	TX

General Provider Information

NPI Number	:	1942653514
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GENESYS WOMEN SERVICES PA

Provider Business Mailing Address
First Line	:	11920 WESTHEIMER RD
Second Line	:	SUITE E
City	:	HOUSTON
State	:	TX
Zip	:	77077-6676
Country	:	US
Telephone Number	:	832-520-8070
Fax Number	:

Provider Business Practice Location Address
First Line	:	12000 RICHMOND AVE STE 215
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77082-2428
Country	:	US
Telephone Number	:	832-532-7068
Fax Number	:	281-201-2117

Authorized Official
Title or Position	:	OWNER
Name	:	DAMA ALEXANDER ZIWORITIN
Credential	:	MD
Telephone Number	:	832-532-7068

Provider Enumeration Date	:	07/19/2016
Last Update Date	:	04/11/2023

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Directions to “GENESYS WOMEN SERVICES PA ” Practice Location

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