Organization
WOMENS CENTRE FOR WELL BEING PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY LEE EADS MD (OWNER/PRESIDENT)
(832) 813-0979
Entity
Organization
Contact information
Practice address
1120 MEDICAL PLAZA DR, 200, SHENANDOAH, TX 77380-3242
(832) 813-0979
(832) 813-0984
Mailing address
1120 MEDICAL PLAZA DR, 200, SHENANDOAH, TX 77380-3242
(832) 813-0979
(832) 813-0984
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
M4048
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
184714701
—
TX
01
—
P00385879
MEDICARE RAILROAD PTAN
TX
Enumeration date
03/20/2007
Last updated
07/24/2008
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