NPIMap

Organization Active NPI

Texoma Womens Clinic P.a.

Doing business as The Womens Clinic

  • Obstetrics & Gynecology Physician
  • Wichita Falls, TX
National Provider Identifier
1104854777
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
TEXOMA WOMENS CLINIC P.A.
Doing business as
The Womens Clinic
Practice address
6 Burnside
Wichita Falls, TX 76310-1128
Phone
(940) 723-8151
Fax
(940) 723-8815
NPI assigned
Jun 30, 2006
Last updated
Dec 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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

Authorized official

Name
Ryan Jeremy BannonNPI 1104972496
Title
Authorized Official
Phone
(940) 723-8571

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

6 Burnside
Wichita Falls, TX 76310-1128

Mailing address

6 Burnside
Wichita Falls, TX 76310-1128
Phone (940) 723-8151

Other names 1

  • THE WOMENS CLINIC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060929000273 TX Part B Supplier - Clinic/Group Practice 7315942109 Receives reassigned benefits from 19 practitioners
Practice locations: Graham, TX; Wichita Falls, TX

National Provider Directory

National Provider Directory

Locations

1601 9th St
Wichita Falls, TX 76301
Phone 9407238151 ext. 140

1601 9th St
Ste B
Wichita Falls, TX 76301
Phone (817) 723-8151

6 Burnside
Wichita Falls, TX 76310
Phone (940) 723-8151

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671494400000",
    "number": "1104854777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 BURNSIDE",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763101128",
            "telephone_number": "940-723-8151",
            "fax_number": "940-723-8815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 BURNSIDE",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763101128",
            "telephone_number": "940-723-8151",
            "fax_number": "940-723-8815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXOMA WOMENS CLINIC P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A",
        "authorized_official_last_name": "BANNON",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "JEREMY",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "940-723-8571"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE WOMENS CLINIC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "THE WOMENS CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wichita Falls, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.