MEDICARE: HER HEALTHCARE, LLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician

General Provider Information

NPI Number	:	1538508098
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HER HEALTHCARE, LLP

Provider Business Mailing Address
First Line	:	23802 HIGHWAY 59 N
Second Line	:
City	:	KINGWOOD
State	:	TX
Zip	:	77339-1510
Country	:	US
Telephone Number	:	281-312-5465
Fax Number	:

Provider Business Practice Location Address
First Line	:	9701 N SAM HOUSTON PKWY E
Second Line	:	SUITE 120
City	:	HUMBLE
State	:	TX
Zip	:	77396-4636
Country	:	US
Telephone Number	:	281-312-5400
Fax Number	:

Authorized Official
Title or Position	:	BUSINESS OFFICE MANAGER
Name	:	EVA IVEY
Credential	:
Telephone Number	:	281-312-5465

Provider Enumeration Date	:	06/18/2013
Last Update Date	:	09/19/2013

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Directions to “HER HEALTHCARE, LLP ” Practice Location

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