# WHBOUTIQUE INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Women's Health Boutique
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780086371
- **Authorized official:** VICKI D JONES (PRESIDENT/CEO)
- **Authorized official phone:** (903) 758-9904

## Contact information

- **Practice address:** 1130 DOCTORS DR, TYLER, TX 75701-2123
- **Practice address phone:** (903) 533-1103
- **Practice address fax:** (903) 533-1104
- **Mailing address:** 605 N 6TH ST, LONGVIEW, TX 75601-6606
- **Mailing address phone:** (903) 758-9904
- **Mailing address fax:** (903) 236-9786

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 1001440 | TX | Yes |

## Other

- **Enumeration date:** 09/25/2014
- **Last updated:** 02/19/2020