WOMENS SPECIALTY CENTER PA - NPI 1174553416

Q: What is Womens Specialty Center PA's NPI number?

The NPI number for Womens Specialty Center PA is 1174553416. It was assigned to this organization in the NPPES registry on July 3, 2006.

Q: What is Womens Specialty Center PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

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About Womens Specialty Center Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WOMENS SPECIALTY CENTER PA (NPI 1174553416) is a healthcare organization registered as a specialist in Dallas, Texas and active in the NPI registry since July 2006. The organization holds a CLIA Microscopy certificate valid through September 29, 2027 and lists Gonzalo Venegas, Owner, as its authorized official.

NPPES Registry Identity

NPI1174553416

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameWOMENS SPECIALTY CENTER PA

Location Address1135 N BISHOP AVEDallas, TX 75208-4114

Mailing Address1135 N Bishop AveDallas, TX 75208-4114 · (214) 942-3100

Phone(214) 942-3100

Fax(214) 948-3697

Organization SubpartNo

Authorized OfficialGonzalo VenegasOwner · (214) 942-3100

Enumeration DateJuly 3, 2006

Last NPPES UpdateMarch 31, 2023

NPPES CertifiedMarch 31, 2023

✔ NPI 1174553416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in TX · H6974

Definition

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.

Also ListedFamily MedicineTaxonomy 207Q00000X

1135 N BISHOP AVE, Dallas, TX 75208

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Other Identifiers 1

Medicaid153392901TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include WellPoint.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 45D2238054

Women's Specialty Cener, PA · Dallas, TX

Active · expires Sep 29, 2027

CLIA Number45D2238054

Laboratory TypePhysician Office

Certificate Effective DateSeptember 30, 2025

Certificate Expiration DateSeptember 29, 2027

Laboratory DirectorGonzalo Venegas

Laboratory Phone(214) 942-3100

Laboratory LocationWomen's Specialty Cener, PA221 W Colorado Blvd Pavilion II Suite 728, Dallas, TX 75208

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ALFREDO GUILLERMO ANTONETTI M.D.

Obstetrics & Gynecology