| Organization Name: | FEMCLINIC PLLC |
| NPI Number: | 1104099308 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LIDA AGHDAM (OWNER) |
| Mailing Address: | 7155 Colleyville Blvd Suite 101 Colleyville |
| State: | TX US |
| Postal Code: | 760348003 |
| Phone Number: | 8174887878 |
| Fax Number: | 8174887877 |
| NPI Enumeration Date: | 04/08/2008 |
| NPI Last Update Date: | 02/29/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | L4208 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |