Organization Active NPI

Specialized Womens Healthcare PLLC

  • Obstetrics & Gynecology Physician
  • Plano, TX
National Provider Identifier
1043526262
Registry record updated Jan 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
SPECIALIZED WOMENS HEALTHCARE PLLC
Practice address
3804 W 15TH St
Suite 140
Plano, TX 75075-4752
Phone
(469) 326-1600
Fax
(469) 326-1608
NPI assigned
Aug 25, 2010
Last updated
Jan 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Jackie L Lane, CMOM
Title
Office Manager
Phone
(469) 326-1600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

3804 W 15TH St
Suite 140
Plano, TX 75075-4752

Mailing address

3804 W 15TH St
Suite 140
Plano, TX 75075-4752
Phone (469) 326-1600

National Provider Directory

National Provider Directory

Locations

3804 W 15th St
Ste 140
Plano, TX 75075
Phone (469) 326-1600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1282694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294963200000",
    "number": "1043526262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3804 W 15TH ST",
            "address_2": "SUITE 140",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750754752",
            "telephone_number": "469-326-1600",
            "fax_number": "469-326-1608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3804 W 15TH ST",
            "address_2": "SUITE 140",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750754752",
            "telephone_number": "469-326-1600",
            "fax_number": "469-326-1608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALIZED WOMENS HEALTHCARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-25",
        "last_updated": "2011-01-14",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "469-326-1600",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CMOM"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2011; 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.