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WOMEN'S WELLNESS & HEALTHCARE CLINIC NPI 1558323717


NPI Information

NPI: 1558323717
Provider Name: WOMEN'S WELLNESS & HEALTHCARE CLINIC
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 45D0979708

Address:
1710 E. SAUNDERS
SUITE A200
LAREDO, TX
ZIP 78041
Phone: (956) 753-7600
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WOMEN'S WELLNESS & HEALTHCARE CLINIC is a specialist in Laredo, TX. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. WOMEN'S WELLNESS & HEALTHCARE CLINIC NPI is 1558323717. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1710 E. SAUNDERS
SUITE A200
LAREDO, TX
ZIP 78041-213
Phone: (956) 753-7600
Fax: (956) 753-7800

The provider's authorized official is Ricardo Castillon .
The authorized official title is Owner and has the following contact phone number (956) 753-7600.

The CLIA number assigned to this NPI record is 45D0979708 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/4/2006 and was last updated on 3/11/2011.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistK9748TEXASYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10796211-01MEDICAIDTEXAS
2H26576MEDICARE UPINTEXAS
30030EROTHERTEXASBLUE CROSS BLUE SHIELD

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.