Provider Demographics
NPI:1730400078
Name:WOMACK, ELEANOR (MD)
Entity type:Individual
Prefix:
First Name:ELEANOR
Middle Name:
Last Name:WOMACK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5656 BEE CAVE RD
Mailing Address - Street 2:E-200
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746
Mailing Address - Country:US
Mailing Address - Phone:512-327-8700
Mailing Address - Fax:512-327-8701
Practice Address - Street 1:5656 BEE CAVE RD
Practice Address - Street 2:E-200
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746
Practice Address - Country:US
Practice Address - Phone:512-327-8700
Practice Address - Fax:512-327-8701
Is Sole Proprietor?:No
Enumeration Date:2010-06-22
Last Update Date:2022-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN6772207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine