TEXOMA WOMENS CLINIC P.A. NPI 1104854777

NPI Details

TEXOMA WOMENS CLINIC P.A. is an obstetrics gynecology in Wichita Falls, TX. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. TEXOMA WOMENS CLINIC P.A. NPI is 1104854777. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As The Womens Clinic.

The provider's business location address is:

6 BURNSIDE
WICHITA FALLS, TX
ZIP 76310-128
Phone: (940) 723-8151
Fax: (940) 723-8815

The provider's authorized official is Ryan Jeremy Bannon .
The authorized official title is Authorized Official and has the following contact phone number (940) 723-8571.

The CLIA number assigned to this NPI record is 45D0487628 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/30/2006 and was last updated on 12/20/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: