Basic Information
| Provider Information | |||||||||
| NPI: | 1841396231 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | NORTH CENTRAL WOMEN'S HEALTH PARTNERS II, LP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6609 VIRGINIA PARKWAY | ||||||||
| Address2: | |||||||||
| City: | MCKINNEY | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750715513 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9725428884 | ||||||||
| FaxNumber: | 2145449400 | ||||||||
| Practice Location | |||||||||
| Address1: | 6609 VIRGINIA PARKWAY | ||||||||
| Address2: | |||||||||
| City: | MCKINNEY | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750715513 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9725428884 | ||||||||
| FaxNumber: | 2145449400 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/15/2006 | ||||||||
| LastUpdateDate: | 05/20/2010 | ||||||||
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| AuthorizedOfficialLastName: | BANKS | ||||||||
| AuthorizedOfficialFirstName: | TRACEY | ||||||||
| AuthorizedOfficialMiddleName: | A | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 9725428884 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | Y | 193400000X MULTIPLE SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
No ID Information.