Whole Woman'S Health of Fort Worth LLC

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

140000 Issued in TX

Legal business name

WHOLE WOMAN'S HEALTH OF FORT WORTH LLC

Practice address

8401 N I H 35
Suite 1a
Austin, TX 78753-5751

Phone

(512) 835-6858

NPI assigned

Dec 19, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Virginia Smith

Title

Billing/Credentialing Coordinator

Phone

(888) 737-9615

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1261180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261180800000",
    "number": "1124357249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 S MAIN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761101626",
            "telephone_number": "817-924-6641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 N I H 35",
            "address_2": "SUITE 1A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787535751",
            "telephone_number": "512-835-6858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLE WOMAN'S HEALTH OF FORT WORTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-19",
        "last_updated": "2009-12-19",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_title_or_position": "BILLING/CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "888-737-9615",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "TX",
            "license": "140000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gynecology Physician in Austin, TX
• Providers in Austin, TX by specialty
• Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2009; 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.