Organization
TERRELL WOMEN'S HEALTH CENTER DBA WW WOMEN'S HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IMA WIDEMAN (OFFICE MANAGER)
(972) 722-5959
Entity
Organization
Contact information
Practice address
2504 RIDGE RD, SUITE 201, ROCKWALL, TX 75087-2569
(972) 722-5959
(972) 722-5538
Mailing address
PO BOX 871, TERRELL, TX 75160-0017
(972) 722-5959
(972) 722-5538
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
H3199
TX
Other
Enumeration date
10/24/2012
Last updated
10/24/2012
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