# TEXOMA WOMENS CLINIC P.A.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** THE WOMENS CLINIC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104854777
- **Authorized official:** RYAN JEREMY BANNON (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (940) 723-8571

## Contact information

- **Practice address:** 6 BURNSIDE, WICHITA FALLS, TX 76310-1128
- **Practice address phone:** (940) 723-8151
- **Practice address fax:** (940) 723-8815
- **Mailing address:** 6 BURNSIDE, WICHITA FALLS, TX 76310-1128
- **Mailing address phone:** (940) 723-8151
- **Mailing address fax:** (940) 723-8815

## Taxonomy

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

## Other

- **Enumeration date:** 06/30/2006
- **Last updated:** 12/20/2022