# FOUR SEASONS WOMEN'S HEALTH PA

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

## Provider details

- **NPI number:** 1881897114
- **Authorized official:** MISS JONI N CORTEZ (OFFICE MANAGER)
- **Authorized official phone:** (903) 533-8811

## Contact information

- **Practice address:** 2017 RICKETY LN, TYLER, TX 75703-1706
- **Practice address phone:** (903) 533-8811
- **Practice address fax:** (903) 593-5511
- **Mailing address:** 2017 RICKETY LN, TYLER, TX 75703-1706
- **Mailing address phone:** (903) 533-8811
- **Mailing address fax:** (903) 593-5511

## Taxonomy

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

## Other

- **Enumeration date:** 06/06/2007
- **Last updated:** 06/18/2014