MEDICARE: NORTH HOUSTON BIRTH CENTER

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	261QB0400X	Birthing Clinic/Center	008048	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710080049
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH HOUSTON BIRTH CENTER

Provider Business Mailing Address
First Line	:	7007 NORTH FWY
Second Line	:	SUITE 435
City	:	HOUSTON
State	:	TX
Zip	:	77076-1324
Country	:	US
Telephone Number	:	713-699-4211
Fax Number	:	713-699-8996

Provider Business Practice Location Address
First Line	:	7007 NORTH FRWY
Second Line	:	SUITE 435
City	:	HOUSTON
State	:	TX
Zip	:	77076-1324
Country	:	US
Telephone Number	:	713-699-4211
Fax Number	:	713-699-8996

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. KATHLEEN VANDE GIESSEN
Credential	:	CNM MSN
Telephone Number	:	713-699-4211

Provider Enumeration Date	:	09/05/2006
Last Update Date	:	01/04/2011

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Directions to “NORTH HOUSTON BIRTH CENTER ” Practice Location

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