NPIMap

Organization Active NPI

Womens Specialty Center PA

  • Specialist
  • Dallas, TX
National Provider Identifier
1174553416
Registry record updated Mar 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
H6974 Issued in TX
Legal business name
WOMENS SPECIALTY CENTER PA
Practice address
1135 N Bishop Ave
Dallas, TX 75208-4114
Phone
(214) 942-3100
Fax
(214) 948-3697
NPI assigned
Jul 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2023

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

Authorized official

Name
Gonzalo Venegas, M.D.
Title
Owner
Phone
(214) 942-3100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X H6974 TX Primary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X

Addresses

Primary practice location

1135 N Bishop Ave
Dallas, TX 75208-4114

Mailing address

1135 N Bishop Ave
Dallas, TX 75208-4114
Phone (214) 942-3100

Other identifiers 1

IdentifierTypeStateIssuer
153392901MedicaidTX

National Provider Directory

National Provider Directory

Locations

1135 N Bishop Ave
Dallas, TX 75208
Phone (214) 388-8898

3050 S 1st St
Garland, TX 75041

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680220800000",
    "number": "1174553416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 N BISHOP AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752084114",
            "telephone_number": "214-942-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 N BISHOP AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752084114",
            "telephone_number": "214-942-3100",
            "fax_number": "214-948-3697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMENS SPECIALTY CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A",
        "authorized_official_last_name": "VENEGAS",
        "authorized_official_first_name": "GONZALO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-942-3100",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "H6974",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "153392901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 31, 2023; 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.