Provider Demographics
NPI:1154067403
Name:ABIDE WOMEN'S HEALTH SERVICES, INC.
Entity type:Organization
Organization Name:ABIDE WOMEN'S HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CESSILYE
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-474-6311
Mailing Address - Street 1:PO BOX 152243
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75315-2243
Mailing Address - Country:US
Mailing Address - Phone:972-474-6311
Mailing Address - Fax:940-220-6021
Practice Address - Street 1:2612 MARTIN LUTHER KING JR BLVD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75215-2309
Practice Address - Country:US
Practice Address - Phone:972-474-6311
Practice Address - Fax:940-220-6021
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-10
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Single Specialty