Healthcare Provider Details

I. General information

NPI: 1457358004
Provider Name (Legal Business Name): TOMBALL WOMENS HEALTH CARE CENTER P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2005
Last Update Date: 12/09/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

929 GRAHAM DR STE B
TOMBALL TX
77375-6451
US

IV. Provider business mailing address

929 GRAHAM DR STE B
TOMBALL TX
77375-6451
US

V. Phone/Fax

Practice location:
  • Phone: 281-351-5548
  • Fax: 281-351-5020
Mailing address:
  • Phone: 281-351-5548
  • Fax: 281-351-5020

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MICHAEL A RODRIGUEZ
Title or Position: PRESIDENT
Credential: M.D.
Phone: 281-351-5548