Organization Active NPI

Willow Women'S Health, PLLC

  • Obstetrics & Gynecology Physician
  • Dallas, TX
National Provider Identifier
1003418229
Registry record updated Mar 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
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

Updated by the provider on Mar 2, 2021

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)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.