Active NPI
Willow Women'S Health, PLLC
- Obstetrics & Gynecology Physician
- Dallas, TX
National Provider Identifier
1003418229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- WILLOW WOMEN'S HEALTH, PLLC
- Doing business as
- Willow Women's Health
- Practice address
- 712 N Washington Ave Ste 250
Dallas, TX 75246-1631 - Phone
- (806) 470-7918
- NPI assigned
- Nov 12, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Shruti Benjamin, MD
- Title
- Member
- Phone
- (806) 470-7918
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
712 N Washington Ave Ste 250
Dallas, TX 75246-1631
Mailing address
2840 Legacy Dr Ste 400
Frisco, TX 75034-6055
Phone (469) 476-5623
Other names 1
- Willow Women's Health
National Provider Directory
National Provider DirectoryLocations
5026 Tennyson Pkwy
Plano, TX 75024
Phone (469) 200-6100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605139200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1614643200000",
"number": "1003418229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2840 LEGACY DR STE 400",
"city": "FRISCO",
"state": "TX",
"postal_code": "750346055",
"telephone_number": "469-476-5623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "712 N WASHINGTON AVE STE 250",
"city": "DALLAS",
"state": "TX",
"postal_code": "752461631",
"telephone_number": "806-470-7918"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLOW WOMEN'S HEALTH, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-12",
"last_updated": "2021-03-02",
"certification_date": "2021-03-02",
"status": "A",
"authorized_official_last_name": "BENJAMIN",
"authorized_official_first_name": "SHRUTI",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "806-470-7918",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Willow Women's Health",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Willow Women's Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.