Provider Demographics
NPI:1215267372
Name:WOMAN REJUVENATION PLLC
Entity type:Organization
Organization Name:WOMAN REJUVENATION PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OBGYN
Authorized Official - Prefix:
Authorized Official - First Name:DIAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:GINSBERG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-569-4289
Mailing Address - Street 1:5373 W ALABAMA ST STE 204
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77056-5923
Mailing Address - Country:US
Mailing Address - Phone:281-569-4289
Mailing Address - Fax:855-752-9179
Practice Address - Street 1:5373 W ALABAMA ST STE 204
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056-5923
Practice Address - Country:US
Practice Address - Phone:281-569-4289
Practice Address - Fax:855-752-9179
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-12
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty