Organization
WHOLE WOMAN'S HEALTH OF FORT WORTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VIRGINIA SMITH (BILLING/CREDENTIALING COORDINATOR)
(888) 737-9615
Entity
Organization
Contact information
Practice address
8401 N I H 35, SUITE 1A, AUSTIN, TX 78753-5751
(512) 835-6858
Mailing address
1717 S MAIN ST, FORT WORTH, TX 76110-1626
(817) 924-6641
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
140000
TX
Other
Enumeration date
12/19/2009
Last updated
12/19/2009
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