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LASER VAGINAL REJUVENATION INSTITUTE OF DALLAS PA NPI 1932361441


NPI Information

NPI: 1932361441
Provider Name: LASER VAGINAL REJUVENATION INSTITUTE OF DALLAS PA

Doing Business As: WOMENS WELLNESS INSTITUTE

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
9101 N CENTRAL EXPY
SUITE 550
DALLAS, TX
ZIP 75231
Phone: (214) 442-0055
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LASER VAGINAL REJUVENATION INSTITUTE OF DALLAS PA is an obstetrics gynecology in Dallas, 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. LASER VAGINAL REJUVENATION INSTITUTE OF DALLAS PA NPI is 1932361441. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Womens Wellness Institute.

The provider's business location address is:

9101 N CENTRAL EXPY
SUITE 550
DALLAS, TX
ZIP 75231-927
Phone: (214) 442-0055
Fax: (214) 442-0056

The provider's authorized official is Tammie M Jackson .
The authorized official title is Billing Mgr and has the following contact phone number (469) 916-4767.

The enumeration date for this NPI number is 6/26/2008 and was last updated on 6/26/2008.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & GynecologyK8880TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1H71311MEDICARE UPINTEXAS
20097PKOTHERTEXASBCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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