Organization
FOUR SEASONS WOMEN'S HEALTH PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JONI N CORTEZ (OFFICE MANAGER)
(903) 533-8811
Entity
Organization
Contact information
Practice address
2017 RICKETY LN, TYLER, TX 75703-1706
(903) 533-8811
(903) 593-5511
Mailing address
2017 RICKETY LN, TYLER, TX 75703-1706
(903) 533-8811
(903) 593-5511
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
207V00000X
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205733301
—
TX
01
—
207V00000X
TAXONOMY
TX
Enumeration date
06/06/2007
Last updated
06/18/2014
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