Integrative Gynecology and Womens Wellness Inc

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

L1983 Issued in TX

Legal business name

INTEGRATIVE GYNECOLOGY AND WOMENS WELLNESS INC

Practice address

215 S. Denton Tap Rd
Suite 275
Coppell, TX 75019-5066

Phone

(972) 393-1300

Fax

(972) 393-1337

NPI assigned

Sep 14, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Courtney Paige Ridley, M.D.

Title

Owner

Phone

(972) 393-1300

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252886400000",
    "number": "1215260971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 S. DENTON TAP RD",
            "address_2": "SUITE 275",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750195066",
            "telephone_number": "972-393-1300",
            "fax_number": "972-393-1337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 S. DENTON TAP RD",
            "address_2": "SUITE 275",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750195066",
            "telephone_number": "972-393-1300",
            "fax_number": "972-393-1337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE GYNECOLOGY AND WOMENS WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-14",
        "last_updated": "2009-09-14",
        "status": "A",
        "authorized_official_last_name": "RIDLEY",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "PAIGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-393-1300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TX",
            "license": "L1983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Specialty Clinic/Center in Coppell, TX
• Providers in Coppell, TX by specialty
• Medical Specialty Clinic/Center in Texas

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