Healthcare Provider Details
I. General information
NPI: 1609235332
Provider Name (Legal Business Name): NORTH HOUSTON WOMENS HEALTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/23/2016
Last Update Date: 02/23/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7007 NORTH FWY #435
HOUSTON TX
77076-1324
US
IV. Provider business mailing address
7007 NORTH FWY #435
HOUSTON TX
77076-1324
US
V. Phone/Fax
- Phone: 713-699-4211
- Fax: 713-669-8996
- Phone: 713-699-4211
- Fax: 713-669-8996
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
KATHLEEN
VANDEGIESSEN
Title or Position: OWNER
Credential: CNM BSN
Phone: 713-699-4211