Organization Active NPI

The Womens Health Clinic, Inc.

  • Obstetrics Physician
  • Baytown, TX
National Provider Identifier
1578555488
Registry record updated Jan 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
Legal business name
THE WOMENS HEALTH CLINIC, INC.
Practice address
4201 Garth Rd
# 303
Baytown, TX 77521-3156
Phone
(281) 428-1793
Fax
(281) 420-9604
NPI assigned
Aug 17, 2005
Last updated
Jan 7, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2009

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

Authorized official

Name
Diana Graham
Title
Billing Manager
Phone
(281) 428-1793

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VX0000X Primary

Addresses

Primary practice location

4201 Garth Rd
# 303
Baytown, TX 77521-3156

Mailing address

4201 Garth Rd
# 303
Baytown, TX 77521-3156
Phone (281) 428-1793

Other identifiers 2

IdentifierTypeStateIssuer
096543602MedicaidTX
160046845OtherTXMEDICARE RAILROAD

National Provider Directory

National Provider Directory

Locations

4201 Garth Rd
Ste 303
Baytown, TX 77521
Phone (281) 428-1793

4201 Garth Rd
Ste 308
Baytown, TX 77521
Phone (281) 428-1793

NPI Registry JSON

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231286400000",
    "number": "1578555488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 GARTH RD",
            "address_2": "# 303",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775213156",
            "telephone_number": "281-428-1793",
            "fax_number": "281-420-9604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 GARTH RD",
            "address_2": "# 303",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775213156",
            "telephone_number": "281-428-1793",
            "fax_number": "281-420-9604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WOMENS HEALTH CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-17",
        "last_updated": "2009-01-07",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "281-428-1793"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "096543602",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "160046845",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baytown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.