Organization
SPECIALIZED WOMENS HEALTHCARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACKIE L LANE CMOM (OFFICE MANAGER)
(469) 326-1600
Entity
Organization
Contact information
Practice address
3804 W 15TH ST, SUITE 140, PLANO, TX 75075-4752
(469) 326-1600
(469) 326-1608
Mailing address
3804 W 15TH ST, SUITE 140, PLANO, TX 75075-4752
(469) 326-1600
(469) 326-1608
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
08/25/2010
Last updated
01/14/2011
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