# GREENVILLE WOMENS WELLNESS CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043357023
- **Authorized official:** KAREN NALLS (OFFICE MANAGER)
- **Authorized official phone:** (903) 455-9582

## Contact information

- **Practice address:** 4221 RIDGECREST RD STE 109, GREENVILLE, TX 75402-6015
- **Practice address phone:** (903) 455-9582
- **Practice address fax:** (903) 455-5689
- **Mailing address:** 4221 RIDGECREST RD STE 109, GREENVILLE, TX 75402-6015
- **Mailing address phone:** (903) 455-9582
- **Mailing address fax:** (903) 455-5689

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/31/2007
- **Last updated:** 06/10/2008