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Organization
WHBOUTIQUE INC.
Active
Organization
WHBOUTIQUE INC.
Active
Other names
Women's Health Boutique
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI D JONES (PRESIDENT/CEO)
(903) 758-9904
Entity
Organization
Contact information
Practice address
1130 DOCTORS DR, TYLER, TX 75701-2123
(903) 533-1103
(903) 533-1104
Mailing address
605 N 6TH ST, LONGVIEW, TX 75601-6606
(903) 758-9904
(903) 236-9786
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1001440
TX
Other
Enumeration date
09/25/2014
Last updated
02/19/2020
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