Organization
NORTHERN BAY WOMENS HEALTH CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRWIN ENDELMAN MD (PRESIDENT)
(469) 574-0111
Entity
Organization
Contact information
Practice address
6100 WINDCOM COURT, SUITE 102, PLANO, TX 75093-7888
(459) 574-0111
(469) 574-0099
Mailing address
6100 WINDCOM COURT, SUITE 102, PLANO, TX 75093-7888
(469) 574-0111
(469) 574-0099
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
207VX0000X
Obstetrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0808512901
—
TX
Enumeration date
08/14/2006
Last updated
01/07/2013
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